Missouri
Missouri has lost 200,000 Medicaid enrollees in the last year. More than half were children
Missouri’s Medicaid enrollment has shrunk by around 200,000 people since last summer, as the state continues the process of undoing a COVID-era pause on eligibility checks.
The federal suspension on annual renewals expired last year and since then, states have been undergoing the process of re-verifying each participant’s eligibility.
From June to April, Missouri’s net enrollment in Medicaid — which is also called MO HealthNet — dropped by 197,525 people.
Over half — 56% — of that net decline was among children, according to recent state data and analysis by the Center for Advancing Health Services, Policy & Economics Research at Washington University in St. Louis. There were 110,938 kids who lost coverage in that period.
The number of kids being removed has been a source of concern over the last few months among advocates. Although kids make up around half of the state’s caseload, they are also eligible at much higher household income level than adults.
As the state evaluates hundreds of thousands of current Medicaid recipients each month and processes their updated information, it continues to receive new applications.
Federal data released earlier this month showed Missouri’s application processing times have been among the worst in the nation.
Medicaid applications are generally required to be reviewed within 45 days. Nationwide, most applications were processed within 24 hours last year.
Missouri and New Mexico had the highest rates of late Medicaid determinations last year, according to the federal data, which covers October through December.
In December, more than half of Missouri’s applications took longer than 45 days to process.
Long processing times can mean low-resource and low-income patients must delay or forego needed medical care and prescriptions.
And Missouri has struggled to meet that limit in the past: In summer 2022, the federal government initiated a mitigation plan with the state to get the wait time down.
At the quarterly MO HealthNet Oversight Committee meeting last week, chair Nick Pfannenstiel, a dentist, raised concerns about processing times.
Pfannenstiel said as a provider, he has been told by state eligibility workers that the current average processing time is “60 to 90 days.” Though he knows the state is working to fix those delays, “that’s causing a lot of frustration, not necessarily from a provider standpoint only but from a patient standpoint.”
Todd Richardson, director of MO HealthNet, said that there are a “number of strategies and a lot of focus right now trying to bring that back down to the 45 day window” that is federally mandated.
Part of the issue is the agency is receiving a large number of applications, Richardson added.
From November to mid-January, during open enrollment season for the federal insurance marketplace, the state generally sees an uptick in Medicaid applications and then a decline and plateau, he said.
“We are not seeing that now,” Richardson said. “[Family Support Division] is continuing to experience a high number of daily new applications, and as a result, you can see that increase in the number of pending applications that we have.”
The number of pending applications reached nearly 53,000 in January and stands at just under 18,000 as of April.
“I know [Family Support Division] has been working exhaustively, trying to bring that number of pending applications down and I know they’ve had some success,” he said, “but there will continue to be kind of an intense review on the state’s part to make sure that we’re getting those applications as current as we possibly can.”
Baylee Watts, DSS’ communications director, said the division has “focused its staff and resources on processing applications that have exceeded 45 days” and continues training staff across several programs and “strategically reallocating staff to manage the workload effectively.”
There can be issues when a patient is on Medicaid but needs to change the category of coverage they qualify for, Pfannenstiel also noted, referring to a patient trying to convert to postpartum Medicaid as causing providers confusion as to whether the person is eligible for services.
A patient previously told the Independentshe spent more than a month just trying to switch from adult Medicaid to Medicaid for Pregnant Women. In the meantime, she didn’t go to any doctor’s appointments.
Richardson said it is currently a “manual process” for state workers to move Medicaid participants into the postpartum category. Since last year, women can receive postpartum coverage for a full year rather than 60 days.
It is also a manual process for children to receive what’s called continuous eligibility, which went into effect this year after it was federally required. That policy allows kids to stay insured for the full year after they are renewed, rather than be potentially stripped of coverage between renewals, due to something like temporary changes in income.
There are system changes to automate those processes planned for June, Richardson said.
This story was originally published by the Missouri Independent, part of the States Newsroom.
Copyright 2024 St. Louis Public Radio
American Idol‘s latest installment has come to end. After a notable season that brought contestants to Hawaii and featured a tribute to Taylor Swift, Season 24 wrapped with a three-hour long episode that saw hopefuls Jordan McCullough, Hannah Harper, and Keyla Richardson compete for the final spot.
In the end, Missouri native Harper took the crown. In the first round of the finale, Alicia Keys stepped in as a guest mentor for contestants, and Harper performed a bluegrass rendition of the Grammy winner’s chart-topping hit, “No One.” In the second turn, Harper sang a song she wrote herself, titled “Married Into This Town,” and reprised “String Cheese,” another song she penned and memorably sang for her audition, for the last round.
During a previous interview with Music Mayhem, Harper said that she grew up playing “bluegrass gospel music in churches every single weekend from age nine until I was 16.” She was drawn to singers like Dolly Parton and Shania Twain, who impacted her approach to music.
“I was raised super conservative, and so I knew of Dolly Parton, and we didn’t listen to a bunch of her music, but she was definitely somebody that I was drawn to. So extravagant. It’s so fun. And she’s such a good showman,” Harper said. “But I was a big Shania Twain fan, like early ‘90s Shania. That was the one tape that we had on, on the regular that my mom let me listen to.”
This year’s season saw judges Lionel Richie, Carrie Underwood, and Luke Bryan relocate the famous “Hollywood Week” for contestants who make it past auditions — trading Los Angeles for Nashville. There was also a special Ohana round in Hawaii that brought 30 finalists before an “industry” panel that included Kelly Sutton, the first female full-time host of the Grand Ole Opry, and Cheryl Porter, a vocal coach and Broadway star, and Rolling Stone‘s own Co-Editor-in-Chief, Shirley Halperin.
Halperin wrote about the experience, while detailing how the show has evolved since its debut over two decades ago. “Each hopeful brought their A game and looked fabulous doing it. How were we to choose? As it turned out, the ones who took the biggest risk — by performing an original song — had an edge,” Halperin noted. “As for our panel, we discussed the contestants’ ages and how they handled the stress of competing. We took note of their backstories, and were inspired by them. We recognized unique voices and range. But in the end, we favored musicianship over potential.”
A Jackson County judge on Friday denied Missouri Attorney General Catherine Hanaway’s attempt to immediately stop Kansas City-based CBD American Shaman and several affiliated companies from selling kratom products.
The motion for a temporary restraining order, which was filed alongside the Missouri Department of Health and Senior Services, took particular aim at the more potent 7-OH products, which Hanaway argues are “hazardous opioids” banned by state and federal law.
Jackson County Circuit Judge Charles McKenzie’s ruling Friday stated there are “competing affidavits” from experts on both sides of the argument, following a hearing on the motion earlier this week.
“The court cannot find, based on the oral argument of the parties, the respective competing affidavits presented and the pleadings, whether the plaintiff is likely to succeed on the merits at this juncture in the proceedings in order for the court to grant relief in the form of a temporary restraining order,” McKenzie’s order states.
Hanaway’s argument was backed by sworn statements from an undercover narcotics officer with the highway patrol who said 7-OH is being used to cut fentanyl and a woman whose brother died from a kratom overdose.
Her office also submitted an FDA report that points to 7-OH as “a potent opioid that poses an emerging public health threat” and states health data showing synthetic 7-OH was involved in at least 197 Missouri deaths.
American Shaman submitted statements of its own from five toxicology and addiction experts, who largely said there wasn’t enough evidence to show that 7-OH and kratom posed a public health risk. One who researched narcotics said she had never heard of 7-OH being used to cut fentanyl.
Company owner Vince Sanders’ statement detailed how he came up with the idea to create 7-OH products, which now have an “enormous” demand, particularly among people who need pain management.
Sanders could not be reached for comment about the ruling on Friday.
McKenzie denied a temporary restraining order “without prejudice,” meaning that he would like to see more evidence.
“It is because of this finding that the court determines it necessary to hold an additional hearing,” he wrote, “where it can consider the parties’ respective positions with the potential of testimonial evidence and other properly introduced evidence, all as more fully developed by the parties, in order to further analyze these issues.”
The judge will consider “other injunctive relief sought in the pleadings at a future hearing to consider the issues,” the order states.
Hanaway filed a similar lawsuit Thursday against Relax Relief Rejuvenate Trading LLC, and its owners Dustin Robinson and Ajaykumar Patel.
The group received a warning letter from the FDA for producing 7-OH products last year, similar to one received by Shaman Botanicals.
“This is another step in our ongoing crackdown on kratom manufacturers who flout the law and try to justify endangering Missourians in the name of profit,” Hanaway said in a press release Thursday.
“Our mission is to safeguard Missourians from unregulated and addictive substances, and we will continue to pursue every legal tool available to protect public health and safety.”
The Missouri Lottery offers several draw games for those aiming to win big.
Here’s a look at May 10, 2026, results for each game:
Winning Pick 3 numbers from May 10 drawing
Midday: 7-2-5
Midday Wild: 7
Evening: 9-6-8
Evening Wild: 7
Check Pick 3 payouts and previous drawings here.
Winning Pick 4 numbers from May 10 drawing
Midday: 7-1-9-9
Midday Wild: 1
Evening: 6-9-8-9
Evening Wild: 2
Check Pick 4 payouts and previous drawings here.
Winning Cash Pop numbers from May 10 drawing
Early Bird: 02
Morning: 11
Matinee: 10
Prime Time: 12
Night Owl: 11
Check Cash Pop payouts and previous drawings here.
Winning Show Me Cash numbers from May 10 drawing
09-18-23-31-39
Check Show Me Cash payouts and previous drawings here.
Feeling lucky? Explore the latest lottery news & results
Are you a winner? Here’s how to claim your lottery prize
All Missouri Lottery retailers can redeem prizes up to $600. For prizes over $600, winners have the option to submit their claim by mail or in person at one of Missouri Lottery’s regional offices, by appointment only.
To claim by mail, complete a Missouri Lottery winner claim form, sign your winning ticket, and include a copy of your government-issued photo ID along with a completed IRS Form W-9. Ensure your name, address, telephone number and signature are on the back of your ticket. Claims should be mailed to:
Ticket Redemption
Missouri Lottery
P.O. Box 7777
Jefferson City, MO 65102-7777
For in-person claims, visit the Missouri Lottery Headquarters in Jefferson City or one of the regional offices in Kansas City, Springfield or St. Louis. Be sure to call ahead to verify hours and check if an appointment is required.
For additional instructions or to download the claim form, visit the Missouri Lottery prize claim page.
When are the Missouri Lottery drawings held?
- Powerball: 9:59 p.m. Monday, Wednesday and Saturday.
- Mega Millions: 10 p.m. Tuesday and Friday.
- Pick 3: 12:45 p.m. (Midday) and 8:59 p.m. (Evening) daily.
- Pick 4: 12:45 p.m. (Midday) and 8:59 p.m. (Evening) daily.
- Cash4Life: 8 p.m. daily.
- Cash Pop: 8 a.m. (Early Bird), 11 a.m. (Late Morning), 3 p.m. (Matinee), 7 p.m. (Prime Time) and 11 p.m. (Night Owl) daily.
- Show Me Cash: 8:59 p.m. daily.
- Lotto: 8:59 p.m. Wednesday and Saturday.
- Powerball Double Play: 9:59 p.m. Monday, Wednesday and Saturday.
This results page was generated automatically using information from TinBu and a template written and reviewed by a Missouri editor. You can send feedback using this form.
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