Coverage under Show Me Healthy Kids (SMHK) managed by Home State Health began July 1, 2022. Individuals who qualify for coverage through SMHK were automatically moved to this plan from their existing health plan or will be enrolled in this health plan the day they are approved for MO HealthNet benefits. They will continue to get their healthcare coverage through this plan as long as they are eligible. Eligibility groups for SMHK include:

• Children in the care and custody of the Missouri Department of Social Services
• Children receiving adoption or legal guardianship subsidy
• Adults under the age of 26, who were in foster care on their 18th birthday and covered by MO HealthNet, and who meet other eligibility criteria
• Former foster care youth under the age of 26, who were previously in foster care on their 18th birthday and covered by Medicaid from another state, and who are not currently eligible for Medicaid coverage under another program

View the Provider Reference Manual 2025 (PDF)