Medicaid Renewals
Need Help Renewing Your MO HealthNet (Missouri Medicaid) Coverage?
Changes are coming to MO HealthNet, and some people will be receiving letters about what those changes mean for their coverage. You do not have to sort through them alone.
Our health insurance services team provides free help to patients and community members. We can help you understand a letter from the Missouri Family Support Division (FSD), update your contact information, complete renewal forms, and take action to renew your MO HealthNet coverage.
Receive a letter or renewal form?
Bring it with you for your appointment with the Sam Rodgers Health Insurance Services team.
What You Can Do Now
Update your contact information with FSD
Confirm that the Family Support Division (FSD) has your correct mailing address, phone number, and email so you receive every notice. If anything has changed, call us and we will help you update it.
Open every letter from FSD
Some letters are informational; others require action by a deadline. Read each notice carefully so you know whether FSD needs information from you.
Renewing Your Coverage
Watch for your renewal letter
If the FSD can renew your coverage with information it already has, your letter will confirm your coverage was renewed. If the FSD needs more information, you will receive a renewal form in the mail.
Complete and return your renewal by the deadline
If you receive a renewal form, complete, sign, and return it by the deadline in your letter. You can submit it through the FSD Benefit Portal, by phone, by mail, or at an FSD Resource Center.
Missed the deadline? You may still have time
If your coverage closed, you may still be able to return your paperwork and have it restarted. Call us at (816) 889-4797 to talk through your options.
Manage Your MO HealthNet Coverage Online
You can update your contact information or check your status at myDSS.mo.gov/renew.
The Missouri Department of Social Services (DSS) website also explains MO HealthNet eligibility, renewals, and Community Engagement requirements.
Community Engagement (work) Requirement Notices for adults with Medicaid Expansion coverage have been sent to those impacted by this change.
Community Engagement requirements are Missouri's new work requirements for adults in the Adult Expansion Group — ages 19 to 64 covered through Missouri's Medicaid expansion. Beginning January 1, 2027, you will need to meet the requirement in order to keep your coverage or qualify for an exclusion.
You can meet it by working, doing community service, taking part in a work program, or attending school or training — for a combined total of at least 80 hours a month in one of the six months prior to your renewal date. You can also meet it with monthly household income of at least $580 (80 times the federal minimum wage).
If you are attending school or training at least half-time, this will exempt you from the 80-hour Community Engagement (work) Requirement. You may also be exempted for reasons such as pregnancy (including your postpartum period), Medicare enrollment, a disability or serious medical condition, caring for a child 13 years old or younger or a person with a disability, being a former foster youth under 26, AIAN tribal status, a 100% VA disability rating, drug or alcohol treatment, or already meeting SNAP or Temporary Assistance work requirements.
Read all of your notices from the Missouri Department of Social Services carefully, confirm that your household information is correct, and keep them for your records. Your renewal notices will arrive in a pink envelope and are very time-sensitive, as you must reply before the due date on the renewal form or you will lose your Medicaid coverage.
What is changing?
Different Medicaid changes apply to different groups and take effect on different dates. Review the information below to understand which changes may affect your coverage.
Six-month renewals
Beginning January 2027, adults in the Adult Expansion Group (AEG) will renew every six months instead of once a year. All other participants continue to renew once a year.
Retroactive coverage will be shorter
Beginning January 2027, MO HealthNet retroactive coverage will be limited to one month for adults in the Adult Expansion Group and two months for other coverage groups, including children and people with disabilities.
Changes to MO HealthNet eligibility for some noncitizens took effect Oct. 1, 2026.
Lawful permanent residents, certain Cuban and Haitian entrants, and COFA migrants remain eligible for Medicaid. If anyone in your household lost Medicaid coverage on October 1, 2026, due to their immigration status and has adjusted their status to a lawful permanent resident or U.S. citizen, please call Sam Rodgers at (816) 889-4797 so we can help you submit copies of their permanent resident card, U.S. passport, or Certificate of Citizenship to the Missouri Family Support Division.
If your coverage changes, your care still matters.
Please do not put off care because your insurance changes or ends. Sam Rodgers is a federally qualified health center (FQHC), which means we serve patients regardless of their ability to pay.
Call our Health Insurance Services team to talk about other coverage options. Sam Rodgers also offers a sliding fee discount program based on household income and family size.
Additional Resources
H.R. 1, also known as the “One Big Beautiful Bill Act,” became law on July 4, 2025, requiring states to comply with its requirements and deadlines. DSS has information available on its website: https://mydss.mo.gov/hr1/participant-resources.
-Last updated October 26, 2026-