Missouri Children with Developmental Disabilities Waiver header

The Missouri Children with Developmental Disabilities Waiver (MOCDD), also known as the Sarah Lopez Waiver, grants Medicaid eligibility to those children under the age of 18 who would be determined eligible for MO HealthNet if they were to reside in an institution, but whose families have chosen to have the child remain home. The MOCDD waiver permits the state to view only the child's income when making eligibility determination. The Department of Mental Health, Division of Developmental Disabilities administers this program.

 Public Notice

2023

07.14.2023 - Public Notice regarding Rate Methodology
01.27.2023 - Public notice regarding the submission of amendments to add the health assessment and coordination waiver service for the Missouri Children with Developmental Disabilities Waiver.

2022

08.25.2022 - Public Notice regarding the submission of amendments to add enhanced Value Based Payments (VBP) for the Missouri Children with Developmental Disabilities Waivers.
04.21.2022 - Public notice regarding the submission of amendments to add the health assessment and coordination waiver service (for the Missouri Children with Developmental Disabilities) Waiver.

2020

12.10.2020 - Public Notice regarding the Comprehensive and Community Support Waiver renewal applications, the Missouri Children with Developmental Disabilities and Partnership for Hope Waiver amendment applications to align with the renewals.
09.23.2020 - Public Notice regarding submission of Comprehensive, Community Support, Partnership for Hope, Missouri Children with Developmental Disabilities Waiver Amendments.
03.03.2020 - Public Notice regarding the submission of Comprehensive, Community Support, Missouri Children and Developmental Disabilities and Partnership for Hope Waiver Amendments

2018

05.03.2018 - Public Comment Summary for MOCDD and Partnership for Hope Waiver Renewal
02.08.2018 - Public Notice regarding Partnership for Hope and MOCDD Waivers

 Waiver Documents

 Provider Manual

 Education & Training

 Forms

 Resources

MO HealthNet News

The table below provides general information and updates that are relevant to this program page, as well as all MO HealthNet providers. To find information for all other MO HealthNet programs, or to search by date, program or keyword, visit the MO HealthNet News page. If you would like to receive updates in your inbox, subscribe to MO HealthNet News!
Date Volume Number Subject Type Program
11/24/2025 New DSS Benefits Portal Webpage Now Available Hot Tips All MO HealthNet Providers
11/24/2025 Updates to the MO HealthNet General Sections Manual Hot Tips All MO HealthNet Providers
11/18/2025 48-30 Implementation of Maximum Daily Limits for Drugs on Crossover Claims Bulletins All MO HealthNet Providers
11/14/2025 Spend Down Got Easier – Now It’s Faster! Hot Tips All MO HealthNet Providers
10/24/2025 48-22 Billing ICD-10 Diagnosis & Procedure Codes Bulletins All MO HealthNet Providers
10/23/2025 Telemedicine Hot Tips All MO HealthNet Providers
10/10/2025 Tobacco Prevention to Promote Health Equity Hot Tips All MO HealthNet Providers
10/02/2025 48-18 Sunset of Direct Care Pro Provider Bulletin Bulletins All MO HealthNet Providers
10/01/2025 Autism Support Now ABA Panel Discussion Hot Tips All MO HealthNet Providers
10/01/2025 MO HealthNet Provider Webinars Scheduled October - December 2025 Hot Tips All MO HealthNet Providers
10/01/2025 MO HealthNet Provider Newsletter - October 2025 Newsletters All MO HealthNet Providers
09/30/2025 Additional - 2025 Optimizing Benefits for Maternal and Infant Health Meetings Hot Tips All MO HealthNet Providers
09/29/2025 MHD Offers Office Hours for Notification of Pregnancy Billing Hot Tips All MO HealthNet Providers
09/09/2025 Suicide Safer Homes Hot Tips All MO HealthNet Providers
08/28/2025 Invitation to Comment: Rural Health Transformation Program Hot Tips All MO HealthNet Providers

 More Information

 Report a Concern

Medicaid Fraud

Public Assistance Fraud

Child Abuse or Neglect
800-392-3738