Missouri Opens Expanded Medicaid Enrollment

Jim Braibish • August 16, 2021

Medicaid expansion in Missouri finally appears to becoming a reality!

The Cole County Circuit Court on Aug. 10 ordered the state to begin accepting Medicaid applications under the expanded eligibility approved by voters in August 2020 . This comes on the heels of the Missouri Supreme Court’s July 20 ruling that the voter-approved Medicaid expansion is constitutional.

The next day, Gov. Mike Parson announced that the Department of Social Services will begin accepting Medicaid applications under the expanded eligibility criteria. “My administration is always going to follow the law and yesterday’s court order is no exception,” the governor said.

The governor’s news release noted that updating staffing capacity and computer software could delay the processing of new enrollments for up to 60 days. However, benefits could be made retroactive to at least the time the individual applies. Funding for expansion, including utilization of federal funds, would be handled as a supplemental appropriation to be considered in the 2022 legislative session, according to an announcement by legislative leaders . Calculations by the Missouri Budget Project show that Missouri actually will save money with Medicaid expansion , requiring no additional general revenue funds.

Applications for expanded Medicaid may be made at https://mydss.mo.gov/   Under Medicaid expansion as specified in the Affordable Care Act, eligibility is extended to 19 to 64-year-old adults whose household incomes are 138% of the federal poverty guideline or less, currently $17,774 a year for a single person, or $36,570 for a family of four.

KCMS Foundation CEO Karole Bradford said, “Thanks to the many advocates for their years of dedicated efforts through the legislative process, the ballot box and most recently the courts. Because of this, some 275,000 Missourians now can gain access to needed health care.”

Skyline view of Kansas City, Missouri, including Union Station, with a field in the foreground under a cloudy sky.
By Micah Flint December 18, 2025
As we finish 2025, I am humbled and honored to be your incoming Kansas City Medical Society president. I want to thank Dr. Sarah Hon for her leadership and mentorship over the past year, and our executive director, Micah Flint, for his administrative support. Our medical society began with the Jackson County Medical Society in 1881, later merging with Wyandotte and Johnson County Medical Societies to become the bi-state Kansas City Medical Society in 2018. We have led health initiatives including Tobacco 21 legislation, Medicaid expansion, the COVID-19 pandemic, the opioid crisis, and physician wellness. Our society is currently advocating for a speaker’s bureau, promoting suicide awareness at our local hospitals each fall, and leading vaccine education efforts in our community. As we move into 2026, our healthcare environment continues to change rapidly. With new medications and procedures, hospital mergers, EMRs, AI, scope-of-practice changes, hospitalists, and the rise of employed physicians, there are many challenges but also opportunities to lead in our healthcare communities. We must support one another to thrive and flourish. I ask that you stay involved and active in our organization as we plan networking and CME activities for 2026. Continue reaching out to colleagues as we learn from one another.
January 6, 2025
I consider it a sincere honor to serve as president of the Kansas City Medical Society this year. As we look forward to this new year, we celebrate our previous accomplishments and look for new ways to meet the challenges of our ever-changing healthcare environment. As we recognize our recent successes, I want to take the opportunity to thank Dr. Greg Unruh, our immediate past president, for his excellent leadership, and I look forward to his continued partnership, providing much-needed wisdom and experience to our board of directors as well as a leadership council. I am also deeply appreciative of Micah Flint, our executive director, now in his third year with the Society. As a board, we are prioritizing key areas where we believe the Society can make a difference for physicians and the communities we serve. With this in mind, we will continue our focus on wellness, advocacy, and expand our opportunities for in person social and educational gatherings. Our journal connects us in a variety of valuable ways, and we will continue its publication and expand its distribution. Under the directorship of Karole Bradford, the Society’s Foundation continues to do invaluable work. We celebrate those accomplishments and the charitable care they provide to our community’s vulnerable population. We are grateful for our individual members and corporate sponsors and welcome your suggestions of how the Society can best serve physicians and our community. Please mark your calendar for the Society’s upcoming events and consider inviting physician colleagues to join you as we gather to learn and support one another.
September 18, 2024
Kansas City area hospitals turn out for Physician Suicide Awareness Day: September 17th, 2024