The Medically Fragile Adult Waiver offers services to individuals who have serious and complex medical needs and are no longer eligible for services under the Healthy Children and Youth program. To be eligible, an individual must be age 21 or older and assessed as requiring placement in an ICF/MR absent these services. The services available include attendant care, private duty nursing, and specialized medical supplies. The Department of Health and Senior Services, Bureau of Special Health Care Needs administers this program.
Public Notice
Waiver Documents
Provider Manual
Education & Training
Forms
- Provider Forms
- Provider Update Request
- Medically Fragile Adult Waiver Addendum to MMAC Provider Agreement for Home Health, Personal Care or Private Duty Nursing Services
- Medically Fragile Adult Waiver Provider Monitoring Log
- Medically Fragile Adult Waiver Private Duty Nursing Acceptance
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 |
|---|---|---|---|---|
| 07/09/2025 | 48-02 | Diagnosis Code Expansion | Bulletins | All MO HealthNet Providers |
| 07/07/2025 | Provider Training Schedule Posted, July – September 2025 | Hot Tips | All MO HealthNet Providers | |
| 07/01/2025 | 2025-3 | Provider Newsletter 3rd Quarter 2025 | Newsletters | All MO HealthNet Providers |
| 05/21/2025 | Breast and Cervical Cancer Treatment (BCCT) Expansion | Hot Tips | All MO HealthNet Providers | |
| 05/20/2025 | Missouri PQC Webinar on Pregnancy Oral Health | Hot Tips | All MO HealthNet Providers | |
| 05/19/2025 | Department of Mental Health Public Hearings | Hot Tips | All MO HealthNet Providers | |
| 05/14/2025 | Optimizing Benefits for Maternal and Infant Health: Join Us on May 29th | Hot Tips | All MO HealthNet Providers | |
| 05/14/2025 | Lunch & Learn: Making a Difference One Notification of Pregnancy at a Time | Hot Tips | All MO HealthNet Providers | |
| 05/12/2025 | 47-46 | Self-Measured Blood Pressure (SMBP) Monitoring | Bulletins | All MO HealthNet Providers |
| 05/01/2025 | 2025-2 | Provider Newsletter 2nd Quarter 2025 | Newsletters | All MO HealthNet Providers |
| 04/07/2025 | Springfield: Join Us to Improve Maternal and Infant Health on April 29th | Hot Tips | All MO HealthNet Providers | |
| 03/27/2025 | 47-38 | Private Duty Nursing Policy Clarification | Bulletins | Medically Fragile Adult Waiver |
| 03/25/2025 | Reporting Incurred Charges for Spend Down Made Easier for Providers and Participants | Hot Tips | All MO HealthNet Providers | |
| 03/14/2025 | Preferred Diabetic Supplies | Hot Tips | All MO HealthNet Providers | |
| 03/06/2025 | Cinvanti® will be non-preferred effective April 3, 2025 | Hot Tips | All MO HealthNet Providers |