08/07/2026
More than 333,000 Missourians lost Medicaid coverage between January 2025 and February 2026. Nearly 92 percent of those terminations were procedural, meaning the state could not confirm whether the person was still eligible, not that they were found ineligible.
Reporting from the Missouri Independent traces much of this to renewal paperwork that gets lost in the process. Forms go to outdated addresses and notices arrive dense and hard to parse. Cases are sometimes closed automatically if department staff have not finished processing paperwork before a 30 day deadline, even when the patient submitted everything on time.
Missouri is preparing to implement twice yearly eligibility re-verifications and new federal work requirements by January 2027, adding more paperwork checkpoints to a system that is already dropping eligible people through the cracks.
Missouri Independent article linked in the comments.