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 |
|---|---|---|---|---|
| 10/10/2025 | 1915(c) DHSS HCBS Waivers | Hot Tips | Medically Fragile Adult Waiver | |
| 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 | MO HealthNet Provider Newsletter - October 2025 | Newsletters | 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 | |
| 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 | |
| 08/04/2025 | MO-CPAP Pediatric and Adolescent Depression Training and Office Hours | Hot Tips | All MO HealthNet Providers | |
| 07/14/2025 | Lunch & Learn Reminder: July 16th, Notification of Pregnancy | Hot Tips | All MO HealthNet Providers | |
| 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 |