State Profile · Deep
MISSOURI
CLast verified 2026-07-03
Deadlines reflect this state’s rules as researched; they can change — always confirm the current deadline with your state agency or Protection & Advocacy office before relying on it.
HOW TO GET SERVICES & APPEAL IN MISSOURI
How services are run
State agency
Your service plan
Individualized Service Plan (ISP)
Self-direction
Self-Directed Services
If you get denied
Deadline to appeal
90 days from your Notice of Adverse Action
Keep services during appeal
File within 10 days
- Receive Notice of Adverse Action
- (Managed care) file health-plan internal appeal within 60 days and exhaust it
- Request State Fair Hearing: FFS/HCBS within 90 (business) days of notice, within 10 business days to continue services; MCO within 120 days of the plan's Notice of Appeal Resolution
- State Fair Hearing; written decision within 90 days
- Appeal to circuit court within 90 days (RSMo 208.100)
KEY AGENCIES & RESOURCES
NOTABLE WAIVERS
Comprehensive Waiver
SourcePeople with DD needing residential or intensive supports.
Waitlist: Regional office intake; crisis prioritization.
Community Support Waiver
SourcePeople with DD living with family; capped budget.
Waitlist: Verify with DMH regional office.
Partnership for Hope Waiver
SourcePeople with DD in participating counties; small budget for early needs.
Waitlist: County-funded match — availability depends on your county joining.
Sarah Jian Lopez Waiver (children)
SourceChildren with DD whose parent income would otherwise disqualify them.
Waitlist: Verify with DMH.
Aged and Disabled Waiver
SourceSeniors and adults with physical disabilities.
Waitlist: Apply through DHSS.
