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Income and Social Security
Missouri SSI supplement
Missouri's state supplement, called Supplemental Nursing Care, gives monthly cash to older adults who live in residential care, assisted living or a nursing facility bed that Medicaid doesn't pay for.
It doesn't go to people living in their own homes. The state pays up to $156 a month in residential care or $292 in assisted living, plus $50 a month for personal needs.
How to apply in Missouri
- In person
- Your local Family Support Division Resource Center
Applying is free. Nobody should charge you to apply.
Apply on the official siteWho may qualify in Missouri
| Age | 21 or older (aged, blind or disabled) |
|---|---|
| Where you live | A licensed residential care facility, assisted living facility, or intermediate or skilled nursing facility |
| Income | Less than the monthly cost of the facility |
| Medicaid | You must be eligible for, or have, MO HealthNet (Missouri Medicaid) |
What you may get
| Monthly supplement, one person living on their own (2026) | None for people living on their own |
|---|---|
| Most the state pays each month toward facility fees, residential care facility (2026) | Up to $156 a month |
| Most the state pays each month toward facility fees, assisted living facility (2026) | Up to $292 a month |
| Most the state pays each month, nursing facility bed not paid by Medicaid, when a level-of-care review shows you need it | Up to $390 a month |
| Personal needs allowance added to the payment | $50 a month |
Dates, renewals and waiting lists
| How long a decision takes | 45 to 90 days |
|---|
How Missouri is different
Where Missouri's rules differ from the federal rules for State SSI supplements.
- Paid separately by the state; apply with the Missouri Family Support Division (check the Supplemental Nursing Care box on the MO HealthNet application)
Good to know
- People in a nursing home bed that Medicaid pays for can't get this cash payment.
Free help
Free help with this in Missouri
Division of Senior and Disability Services (DSDS)
Your local Area Agency on Aging can help with meals, rides, help at home, caregiver support and applying for benefits.
More help in Missouri
State SSI supplement in another state
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kentucky
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
Sources
- Missouri Department of Social Services, Healthcare for Seniors and People with Disabilities (official government site). Checked Oct 28, 2026.
- Missouri Department of Social Services, Supplemental Nursing Care Manual 0615.005.00 Maximum Grants (official government site). Checked Oct 28, 2026.
- Missouri Department of Social Services, Agency Contact Information (official government site). Checked Oct 28, 2026.
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