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 |
|---|---|---|---|---|
| 07/11/2024 | Private Duty Nursing OPR Requirement | Hot Tips | Medically Fragile Adult Waiver | |
| 07/08/2024 | Home Health Provider Notice | Hot Tips | All MO HealthNet Providers | |
| 07/02/2024 | 47-01 | Rate Update For DHSS-Authorized Home And Community-Based Services | Bulletins | Medically Fragile Adult Waiver |
| 07/01/2024 | 2024-2 | Provider Newsletter 3rd Quarter 2024 | Newsletters | All MO HealthNet Providers |
| 06/21/2024 | Missouri’s Master Plan on Aging Survey | Hot Tips | All MO HealthNet Providers | |
| 06/18/2024 | MO HealthNet Community Connection | Hot Tips | All MO HealthNet Providers | |
| 05/28/2024 | Optimizing MO's Managed Care Plan Benefits for Maternal & Infant Health – June 27 | Hot Tips | All MO HealthNet Providers | |
| 05/06/2024 | 46-57 | Private Duty Nursing Multiple Agency Selection | Bulletins | Medically Fragile Adult Waiver |
| 04/30/2024 | MO Medicaid Audit & Compliance New Toll-Free Number | Hot Tips | All MO HealthNet Providers | |
| 04/25/2024 | Claims Processing Schedule for Fiscal Year 2025 | Hot Tips | All MO HealthNet Providers | |
| 04/25/2024 | 45-55 | Private Duty Nursing Prior Authorization Flexibility | Bulletins | Medically Fragile Adult Waiver |
| 04/19/2024 | 46-53 | Update to Medicare Crossover Claims | Bulletins | All MO HealthNet Providers |
| 04/18/2024 | 46-52 | Ordering, Prescribing, Referring (OPR) Provider Requirements for Private Duty Nursing Program | Bulletins | Medically Fragile Adult Waiver |
| 04/11/2024 | 2024 Relias Continuing Education Courses | Hot Tips | All MO HealthNet Providers | |
| 04/03/2024 | Optimizing Missouri’s Managed Care Plan Benefits for Maternal and Infant Health – Cape Girardeau, April 23, 2024 | Hot Tips | All MO HealthNet Providers |