Caseload Counter History

Caseload Counter History

Download historical information in Excel format Updated 12/12/2025 (includes monthly data beginning in May 2004)

MO HealthNet (MHN)

CaseloadDEC 2024JAN 2025FEB 2025MAR 2025APR 2025MAY 2025JUN 2025JUL 2025AUG 2025SEP 2025OCT 2025NOV 2025
MO HealthNet Enrollees11,260,3681,267,0021,285,3161,249,0961,244,5221,245,9061,242,2831,251,2111,260,0531,264,4171,269,2241,267,048
Persons with Disabilities123,562123,222145,706121,993121,644120,858120,840120,786121,496121,865119,715120,756
Elderly94,17894,411105,97094,64395,82495,94496,36896,91497,52398,18298,92599,311
Custodial Parents77,97978,13174,11373,34772,14871,28270,98271,53172,24872,39771,80370,860
Children591,518592,002580,035576,933573,615574,082568,625572,308575,600576,129578,039574,552
Pregnant Women31,22531,16130,69932,25632,49033,99735,29437,06237,72138,19038,43938,537
Adult Expansion341,906348,075348,793349,924348,821349,743350,174352,610355,465357,654362,303363,032
Women’s Health Services, MHN226,57226,57226,39025,77324,28024,64623,98824,13924,41724,45424,81024,807

 

Family Services

CaseloadDEC 2024JAN 2025FEB 2025MAR 2025APR 2025MAY 2025JUN 2025JUL 2025AUG 2025SEP 2025OCT 2025NOV 2025
Child Support Cases3281,825281,308280,759282,299281,596280,584279,677279,359278,953278,221276,865274,894
Food Stamp Families4328,068324,222321,003320,997320,118322,265324,645326,153328,395329,021325,168317,096
Food Stamp Individuals668,210659,962654,673654,108652,427655,940660,033662,806667,531667,837659,757642,563
Temporary Assistance Families55,5565,4295,3085,2125,0594,9865,0115,0094,9514,9924,9324,757
Temporary Assistance Children10,39210,2299,9279,7339,4519,2929,2989,3449,2359,2679,1348,798
Temporary Assistance Individuals13,86513,64613,24012,95212,53012,28012,31912,36512,19412,28412,12411,626

 

Child/Youth Services

CaseloadDEC 2024JAN 2025FEB 2025MAR 2025APR 2025MAY 2025JUN 2025JUL 2025AUG 2025SEP 2025OCT 2025NOV 2025
Foster Care Children611,15911,07011,04111,08511,04911,14011,11911,20911,39411,63911,75511,862
Children Awaiting Adoption71,8341,7861,7581,7421,7731,7551,7471,7351,7411,6961,6711,646
Adoptions Finalized 7824439594141356356623928
Children Receiving Subsidized Child Care8, 10N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Youth in DYS Custody9799803800805824826829830808800790792

 

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.