State Medicaid Waiver Directory

Missouri does not have a Katie Beckett or TEFRA pathway. The main child route is the MOCDD (Sarah Lopez) Waiver for children ages 0-17 with developmental disabilities, which counts only the child's income — but it has limited spots (about 366). Missouri's other DD waivers count parental income. Contact the DMH Division of Developmental Disabilities.

The Comprehensive Waiver and MOCDD Waiver are the most relevant for children. MOCDD specifically targets children with developmental disabilities. For adults with physical disabilities or chronic illness who need nursing-facility level of care, Missouri's Aged and Disabled Waiver is the primary adult HCBS program. It covers personal care, home health aide, adult day care, and other community supports that allow adults to remain at home.

MOCDD serves children with developmental disabilities who need a level of care consistent with ICF/ID standards.

The MOCDD (Sarah Lopez) Waiver counts only the child's income. The Partnership for Hope, DD Comprehensive, and Support waivers count parental income.

ICF/ID level of care is required for the Comprehensive Waiver.

MOCDD serves children. The Comprehensive Waiver serves individuals of various ages.

Missouri Vocational Rehabilitation (dese.mo.gov/adult-learning-rehabilitation-services/vocational-rehabilitation) assists people with disabilities with career counseling, job training, supported employment, assistive technology, and employment placement. Services are free and available statewide. VR also serves transition-age youth (ages 16+) before leaving high school. Call your local VR office or visit the state website.

Missouri Assistive Technology (at.mo.gov) offers free device loans for trial or temporary use, device reutilization programs for refurbished equipment, and Show Me Loans — low-interest financial loans to purchase AT. No Medicaid requirement. MO AT serves individuals with disabilities or age-related changes. Visit at.mo.gov or call for local program access.

Missouri First Steps (mofirststeps.com) is the state's Early Intervention program serving families with children birth to age 3 with developmental delays or disabilities. Services are provided in homes and communities. Families can refer themselves or be referred by anyone. Early Connections provides family support, developmental screenings, and resource referrals at no cost.

Missouri Family-to-Family (familyvoices.org) is a statewide peer-led resource center for families of children with disabilities and special health care needs. It provides information, peer support, advocacy training, and navigation support — at no cost. MOF2F helps families understand systems, access resources, and become effective advocates.

Missouri Parents Act (missouriparentsact.org) empowers families to advocate for children in special education. MPACT provides training, information about IEPs and 504 plans, transition planning, and education advocacy — serving families statewide. Phone: (816) 531-7070 · Toll-free: (800) 743-7634.

Missouri's Temporary Disability Insurance (TDI) program provides partial wage replacement to workers who cannot work due to illness or injury. Missouri also has a Family Temporary Disability Insurance program (created by SB 44) offering up to 6 weeks of paid leave to care for a seriously ill family member. Eligibility depends on employer and state coverage. Check with your employer or labor.mo.gov for details.

The Missouri Developmental Disabilities Council (moddcouncil.org) advocates for people with developmental disabilities, funds programs, and provides resources and referrals. MODDC's website offers links to individual resources, advocacy organizations, and disability-specific information — all at no cost to users.