Missouri Department of Social Services

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PLEASE READ THIS DISCLAIMER CAREFULLY BEFORE USING THE SERVICE

Some State of Missouri websites can be translated into many different languages using Google™ Translate, a third party service (the "Service") that provides automated computer translations of web pages. The Google™ Translate Service is offered as a convenience and is subject to applicable Google Terms of Service. Providing the service as a convenience is not an endorsement of the product or the results generated and nothing herein should be construed as such an approval or endorsement.

The content of State of Missouri websites originate in English. If there are differences between the English content and its translation, the English content is always the most accurate. By selecting a language from the Google Translate menu, the user accepts the legal implications of any misinterpretations or differences in the translation.

As Google's translation is an automated service it may display interpretations that are an approximation of the website's original content. You should not rely on Google™ Translate to provide an exact translation of the website. There are circumstances where the service does not translate correctly and/or where translations may not be possible, such as with certain file types, video content, and images. In addition, some applications and/or services may not work as expected when translated.

The State of Missouri has no control over the nature, content, and availability of the service, and accordingly, cannot guarantee the accuracy, reliability, or timeliness of the translation. Neither the State of Missouri nor its employees accept liability for any inaccuracies or errors in the translation or liability for any loss, damage, or other problem, including without limitation, indirect or consequential loss or damage arising from or in connection with use of the Google™ Translate Service.

Google Translate will not translate applications for programs such as Food Stamps, Medicaid, Temporary Assistance, Child Care and Child Support.

For assistance call 1-855-373-4636
Or, visit your local Resource Center. To find a location near you, go to dss.mo.gov/dss_map/

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      Keeping Kids Safe

      • Child Abuse and Neglect Hotline
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      • Support Investigating Crimes Against Children

      Payments

      • Child Support Payments
      • Pay Claims & Restitution
      • Pay Children's Division (FACES) Overpayment
      • Pay CHIP Premium, Spenddown, Ticket-to-Work
      • Set up Direct Deposit

      Learn More About

      • Adoption
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      • FACES FY 2025 Payroll Schedule
      • Information for Residential Care Facilities & Child Placing Agencies
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      • Resources for Professionals & Stakeholders

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Resources for Providers Banner

Reports

  • National voter Registration Act Reports
  • Temporary Assistance Caseload Reduction Report
  • Family Support Division Annual Data Report

Grants

  • Community Services Block Grant Programs

Guidance & Policies

  • Manuals & Memos
  • Tax Credits
  • Checklists for Trusts
  • MO HealthNet Provider Information
  • MO HealthNet Provider Portal
  • TANF State Plan (Full WIOA with TANF Section)

Program Specific

  • Alternatives to Abortion
  • Domestic Violence Shelters & Services
  • Employment and Training Provider Portal
  • Jobs League Program: Provider Handbook (Appendices)
  • Refugee Resettlement
  • LIHEAP Contractor & Energy Suppliers
  • Presumptive Eligibility Resources
  • EBT Retailers
  • Healthy Moms, Healthy Babies

Forms

  • Application for MO HealthNet (Medicaid) (English) (Espanol)
    • MO HealthNet supplemental form for aged, blind, and disabled (English) (Espanol)
  • Application for SNAP (English) (Espanol)
  • Application for Temporary Assistance (English)
  • Hearing Request
    • Instructions
  • Cancel Hearing Request
    • Instructions
  • Authorization for Disclosure of Consumer Medical/Health Information
  • Authorization for Release of Information
  • Authorized Representative Revocation
  • Forms Manual
  • IM Authorized Representative (English) (Espanol)
  • Insurance and Prepaid Burial Letter (IM-9)
  • MHN Medical Review Team (MRT) Packet
  • Provider Spend Down Form
  • Withdrawal of Request for Hearing (Espanol)

Forms for Nursing Facilities or Hospitals

  • Declaration and Assessment of Assets
  • Facility Notification Form
  • Initial Assessment -Social and Medical
  • Level 1 Pre-Admission Screening For Behavioral Health/Developmental Disabilities
  • Map of Nursing Home Units
  • Personal Funds Account Balance Report

  More Information

  • Authorized Representative Revocation
  • Contact Us
  • How to Appoint an Authorized Representative (English ) (Español )
  • Missouri Resource Guide
  • Supporting Children & Families During COVID-19

 Report a Concern

  • Public Assistance Fraud
  • Child Abuse or Neglect
    800-392-3738
  • Adult Abuse and Neglect
    800-392-0210

About Agency

  • About Us
  • Our Divisions
  • Statistics & Reports
  • News & Media
  • Career Opportunities
  • Strategic Management Priorities
  • Toll-Free Numbers
  • DSS Nondiscrimination Policy
  • DSS Nondiscrimination Policy - Spanish
  • DSS Notice of ADA
  • DSS Notice of ADA - Spanish

Popular Links

  • Report Fraud
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  • Open Meeting Notices
  • Privacy Forms

Resources

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Governor
Mike Kehoe
MO.gov Missouri Logo
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Director
Jessica Bax

State of Missouri Navigation

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Missouri Department of Social Services is an equal opportunity employer/program.
Auxiliary aids and services are available upon request to individuals with disabilities. TDD/TTY: 800-735-2966, Relay Missouri: 711