Written by Timothy McBride, co-director, Center for Advancing Health Services, Policy and Economics Research
Total net enrollment of Missouri’s Medicaid program has remained relatively stable in the last ten months. Overall, MOHealthNET enrollment was 1,245,906 in May 2025, and has remained relatively stable at between 1.24 million to 1.27 million since June 2024 when the unwinding of the Public Health Emergency (PHE) ended.
However, the relative stability of the aggregate enrollment masks shifts in enrollment categories. While enrollment of children, disabled and custodial parents has fallen in that period, enrollment in Adult Expansion Group (AEG) and pregnant women categories has risen. It is noteworthy that the state recently enacted an expansion of post-partum coverage for pregnant women (changes approved by CMS in November 2023). Enrollment in the pregnant women category declined until May 2024 (the end of the unwinding) but has increased significantly since May 2024.
Applications to Medicaid program been rising in recent months (since the end of the open enrollment period), though the number of applications has dropped slowly since the end of the open enrollment period (January 2025).
There have been improvements (drops) in the number of pending applications over the last few months, and the average days a completed case has been pending was also dropped to 30 days.
Non-MAGI applications (for those with disabilities) has fallen over the months March to May, and the delays in processing non-MAGI applications improved.
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Report prepared by analysts at the Center for Advancing Health Services, Policy, and Economics Research and the School of Public Health at WashU.