Supplemental Nursing Care from Missouri HealthNet (Medicaid)

Program Description

Missouri’s Supplemental Nursing Care (SNC) is a financial assistance program from MO HealthNet (Medicaid).  It is a cash benefit to help the elderly who are frail, blind, and/or disabled to pay for costs associated with residential care, most relevantly to help with the cost of assisted living. Eligibility requirements include monthly income and asset limits.

Payments to a recipient varies per the type of facility in which an individual resides. Individuals in residential care facilities (RCFs) receive up to as twice as much support as individuals who live in assisted living facilities (ALFs).

2014 rules changes mean that SNC funding could be applied towards care regardless of whether the preferred facility was Medicaid certified. This is good news for state residents as the number and availability of assisted living communities that accept Medicaid are limited.

Supplemental Nursing Care is one of several programs operated by MO HealthNet (formerly known as the Division of Medical Services). Eligibility is determined by the Family Support Division (FSD). Both are divisions within Missouri’s Department of Social Services (DSS).

Free assistance is available here to help families find affordable assisted living in Missouri.  

Eligibility Guidelines

Age - candidates must be at least 21 years of age.

Residency - candidates must be legal Missouri residents. 

Place of Residence - candidates must reside in an assisted living residence or nursing home to receive the benefit. It is not a requirement that the residence accept Medicaid. 

Care Needs - must require the level of care typically provided in a nursing facility

Monthly Income – Medically needy rules mean that the applicants who have more than $854 per month can demonstrate their income is significantly reduced by medical expenses each month.

Assets - less than $1,000 in countable assets, which exclude the value of a home, if occupied by a spouse. There is a five-year look-back period for assets to determine whether anything of value has been sold or transferred for less than market value. Married applicants can set aside some joint assets and a certain amount of joint income for their healthier spouse following the Medicaid rules to prevent the impoverishment of spouses. 

These criteria are approximate and for planning purposes.  Final eligibility is conducted by the Family Support Division (FSD). 


Benefits and Services

In 2017, this program pays up to $292 per month for care in assisted living. The program also offers other benefits for full-time, permanent, nursing home care. However, these details have been omitted as they are less relevant to our audience. One can read more here.

How to Apply / Learn More

Contact your local Family Support Division county office for more information. A list can be found here:

The state hotline number for the Family Services Division is 1-855-373-4636.  There is also a 24-hour number with an automated response 7 days a week at 1-800-392-1261.

The state publishes this brochure about the program.