Caseload Counter History

Download historical information in Excel format Updated 5/31/2026 (includes monthly data beginning in May 2004)

MO HealthNet (MHN)

CaseloadJUN 2025JUL 2025AUG 2025SEP 2025OCT 2025NOV 2025DEC 2025JAN 2026FEB 2026MAR 2026APR 2026MAY 2026
MO HealthNet Enrollees11,242,2831,251,2111,260,0531,264,4171,269,2241,267,0481,262,3201,262,1051,255,3831,259,4181,256,7561,255,941
Persons with Disabilities120,840120,786121,496121,865119,715120,756120,521120,302120,429120,340119,042118,821
Elderly96,36896,91497,52398,18298,92599,31199,729100,081100,150100,512100,163100,354
Custodial Parents70,98271,53172,24872,39771,80370,86069,44268,70867,27967,32567,09067,091
Children568,625572,308575,600576,129578,039574,552569,863568,088563,157564,797563,873563,235
Pregnant Women35,29437,06237,72138,19038,43938,53739,12439,78139,79140,62641,35441,698
Adult Expansion350,174352,610355,465357,654362,303363,032363,641365,145364,577365,818365,234364,742
Women’s Health Services, MHN223,98824,13924,41724,45424,81024,80725,07025,07825,32825,71825,20525,675

 

Family Services

CaseloadJUN 2025JUL 2025AUG 2025SEP 2025OCT 2025NOV 2025DEC 2025JAN 2026FEB 2026MAR 2026APR 2026MAY 2026
Child Support Cases3279,677279,359278,953278,221276,865274,894275,392275,138274,583273,991272,686271,770
Food Stamp Families4324,645326,153328,395329,021325,168317,096312,368308,118305,628302,581300,971300,721
Food Stamp Individuals660,033662,806667,531667,837659,757642,563632,439623,903618,825614,370613,272614,331
Temporary Assistance Families55,0115,0094,9514,9924,9324,7574,5604,2944,2574,1694,0613,986
Temporary Assistance Individuals12,31912,36512,19412,28412,12411,62611,09310,39210,1959,8619,6199,398
Temporary Assistance Children9,2989,3449,2359,2679,1348,7988,4117,8847,7377,5107,3347,157

 

Child/Youth Services

CaseloadJUN 2025JUL 2025AUG 2025SEP 2025OCT 2025NOV 2025DEC 2025JAN 2026FEB 2026MAR 2026APR 2026MAY 2026
Foster Care Children611,11911,20911,39411,63911,75511,86211,93512,07212,20912,38812,52612,660
Children Awaiting Adoption71,7471,7351,7411,6961,6711,6461,6101,6221,6091,6161,5781,550
Adoptions Finalized 7356356623928533030464577
Children Receiving Subsidized Child Care8, 10N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Youth in DYS Custody9829830808800790792790781791797780777

 

1 Family Support Division/HealthNet Division-Monthly Management Report, Table 23.

Beginning August 2012, this count allows for more timely reporting of MO HealthNet eligibles; prior months reflect waiting two months for data. MO HealthNet Enrollees are categorized from Table 23 based on the following: Persons with Disabilities = Permanently and Totally Disabled (PTD), Aid to Blind, Blind Pension, Workers with Disabilities TWHA Premium, Workers with Disabilities TWHA Non Premium; Elderly = Old Age Assistance (OAA), Qualified Medicare Beneficiary (QMB); Custodial Parents = MO HealthNet for Families (MHF)-Adult, General Relief (GR) (prior to July 2005), Refugee, 1115 Waiver Adult - Extended Transitional Medical Assistance (prior to July 2005), Women with Breast or Cervical Cancer (BCCT), Independent Foster Care Children Age 18-21; Children = MO HealthNet for Families (MHF)-Child, Foster Care, Child Welfare, Children in a Vendor Institution, DYS-GR, MO HealthNet for Kids (Title XIX), Title XIX HDN, Missouri Children with Developmental Disabilities, MO HealthNet for Kids (SCHIP), Presumptive Eligibility for Kids, Voluntary Placement; Pregnant Women = MO HealthNet for Pregnant Women MAF Income, MO HealthNet for Pregnant Women (Poverty), Presumptive Eligibility. Table 23 adjusted for new Table 24 as of July 2009.

2 Family Support Division/MO HealthNet Division–Monthly Management Report , Table 24.

Beginning August 2012, this count allows for more timely reporting of MO HealthNet eligibles; prior months reflect waiting two months for data. Women's Health Services = Extended Women's Health, Uninsured Women's Health Services - New Table as of July 2009.

3 Missouri Automated Child Support System (MACSS) Monthly Report. The count represents active IV–D cases as of the last day of the month. IV–D cases are where the custodial party is receiving Child Support services offered by the state.

4 Family Support Division/MO HealthNet Division-Monthly Management Report, Table 25.

5 Family Support Division/MO HealthNet Division-Monthly Management Report, Table 1.

6 Children’s Division Management Report, Table 25, Legal Status 1 only. This is a point-in-time count at the end of each month.

7 Children’s Division Management Report, Table 23, Children with a goal of adoption-termination of parental rights (TPR) both complete and incomplete. This is a point-in-time count at the end of each month.

8 Child Care Monthly Management Report, Table 4, Child Care Development Block Grant (CCDBG) only. This count represents anyone eligible during the month.

9 Division of Youth Services (DYS) Monthly Extract file. The count represents children in custody on the last day of the month.

10 Effective December 2023, Child Care data is no longer available to DSS. Eligibility for the Child Care Subsidy program was transitioned to DESE’s Child Care Data System (CCDS). DESE took over administration and policy for the CC subsidy program August 28th, 2021.