| E2 | Adult Expansion Group (AEG) | | FSD MC | Yes | No |
| 02 | Blind Pension | State only | fee-for-service | No | No |
| 03 | Supplemental Aid to the Blind / Supplemental Payments AB 1973 conversion | | fee-for-service | Yes | Yes |
| 04 | Supplemental Payments PTD 1973 conversion | | | | |
| 05 | MO HealthNet for Families (MHF) / Transitional MO HealthNet (TMH) - adults | | FSD MC | Yes | Yes |
| 06 | MO HealthNet for Families (MHF) / Transitional MO HealthNet (TMH) - children | | FSD MC | Yes | Yes |
| 07 | Foster Care - Title IV-E | | CD/DYS MC | Yes | Yes |
| 0F | Foster Care-Title IV-E/Independent - Former Foster Care (18-25) in an IMD | State only | CD/DYS MC | No | No |
| 08 | Foster Care - Child Welfare Services (CWS) | State only | CD/DYS MC | No | No |
| 11 | MO HealthNet Aged, Blind, or Disabled (MHABD) - aged (65+) | | fee-for-service | Yes | Yes |
| 12 | MHABD - blind | | fee-for-service | Yes | Yes |
| 13 | MHABD - disabled | | fee-for-service | Yes | Yes |
| 14 | Supplemental Nursing Care (SNC) - aged (65+) | | fee-for-service | Yes | Yes |
| 15 | Supplemental Nursing Care (SNC) - blind | | fee-for-service | Yes | Yes |
| 16 | Supplemental Nursing Care (SNC) - disabled | | fee-for-service | Yes | Yes |
| 18 | MO HealthNet for Pregnant Women - MHF income limit | | FSD MC | Yes | Yes |
| 23 | MHF child in a vendor institution | | fee-for-service | Yes | Yes |
| 29 | Medical Assistance for Children in Care (DYS) - MHF income limit | | CD/DYS MC | Yes | Yes |
| 30 | Medical Assistance for Children in Care (Juvenile Court) - MHF income limit | | CD/DYS MC | Yes | Yes |
| 33 | MOCDD waiver (DMH match) | | fee-for-service | Yes | Yes |
| 34 | MOCDD waiver (DSS match) | | fee-for-service | Yes | Yes |
| 36 | Adoption Subsidy - Title XIX | | CD/DYS MC | Yes | Yes |
| 37 | Foster Care - Title XIX | | CD/DYS MC | Yes | Yes |
| 38 | Former & Independent Foster Child age 18-25 | | CD/DYS MC | Yes | Yes |
| 40 | MO HealthNet for Kids - Poverty, income 148% FPL or less | | FSD MC | Yes | Yes |
| 41 | MO HealthNet for Kids in a vendor institution | | fee-for-service | Yes | Yes |
| 43 | MO HealthNet for Pregnant Women - MHF post-partum | | CD/DYS MC | Yes | Yes |
| 44 | MO HealthNet for Pregnant Women - Poverty post-partum | | FSD MC | Yes | Yes |
| 45 | MO HealthNet for Pregnant Women - Poverty, income income 148% FPL or less | | FSD MC | Yes | Yes |
| 50 | Medical Assistance for Children in Care (DYS) - poverty, income 148% FPL or less | | CD/DYS MC | Yes | Yes |
| 52 | DYS-General Revenue (state only) | State Only | CD/DYS MC | No | No |
| 55 | Qualified Medicare Beneficiary (QMB) | Only covers Medicare premiums, deductibles, & co-insurance | Crossover | No | No |
| 56 | Adoption Subsidy - Title IV-E | | CD/DYS MC | Yes | Yes |
| 5A | Adoption Subsidy - Title IV-E in an IMD | State only | CD/DYS MC | No | No |
| 57 | Adoption Subsidy - CWS | State only | CD/DYS MC | No | No |
| 58 | Temporary MH for Pregnant Women (TEMP) - federal match | Only covers out-patient pre-natal care | fee-for-service | No | No |
| 59 | Temporary MH for Pregnant Women (TEMP) - state only funded | Only covers out-patient pre-natal care | fee-for-service | No | No |
| 60 | Newborns | | FSD MC | Yes | Yes |
| 61 | MO HealthNet for Pregnant Women - HIF, income 149-196% FPL | | FSD MC | Yes | Yes |
| 62 | MO HealthNet for Kids - HIF, under 1, income 149-196% FPL | | FSD MC | Yes | Yes |
| 64 | Group Home HIF (state placement) | State only | CD/DYS MC | No | No |
| 66 | Foster Care HIF - under 1, income 149-196% FPL | | CD/DYS MC | Yes | Yes |
| 69 | Medical Assistance for Children in Care (Juvenile Court) HIF - under 1, income 149-196% FPL | | CD/DYS MC | Yes | Yes |
| 70 | Medical Assistance for Children in Care (Juvenile Court) - poverty, income 148% FPL or less | | CD/DYS MC | Yes | Yes |
| 71 | MO HealthNet for Kids - CHIP non-premium age 1-5, income 149-150% FPL | | FSD MC | Yes | Yes |
| 72 | MO HealthNet for Kids - CHIP non-premium age 6-18, income 149-150% FPL | | FSD MC | Yes | Yes |
| 73 | MO HealthNet for Kids - CHIP premium income 151-185% FPL | | FSD MC | Yes | Yes |
| 74 | MO HealthNet for Kids - CHIP premium income 186-225% FPL | | FSD MC | Yes | Yes |
| 75 | MO HealthNet for Kids - CHIP premium income 226-300% FPL | | FSD MC | Yes | Yes |
| 4M | MO HealthNet for Kids - CHIP non-premium age 1-5, income 148-153% FPL, age 6-18, income 110-153% FPL | | FSD MC | Yes | Yes |
| 80 | Extended Women's Health Services | Only covers family planning services | fee-for-service | No | No |
| 82 | Missouri Rx (MORx) | Only covers half of Medicare Rx co-pays | fee-for-service | No | No |
| 83 | MH for Women receiving Breast or Cervical Cancer Treatment - Presumptive Eligibility | | fee-for-service | Yes | Yes |
| 84 | MH for Women receiving Breast or Cervical Cancer Treatment - Regular | | fee-for-service | Yes | Yes |
| 85 | Ticket to Work Health Assurance - premium | | fee-for-service | Yes | Yes |
| 86 | Ticket to Work Health Assurance - non-premium | | fee-for-service | Yes | Yes |
| 87 | Presumptive Eligibility for Children | | fee-for-service | Yes | Yes |
| 88 | Voluntary Placement Agreement | | fee-for-service | Yes | Yes |
| 89 | Uninsured Women's Health Services | Only covers family planning services | fee-for-service | No | No |
| 94 | Show Me Healthy Babies Presumptive Eligibility | Only covers out-patient pre-natal care | fee-for-service | No | No |
| 95 | Show Me Healthy Babies, income 197 -300% FPL | | FSD MC | Yes | Yes |
| 96 | Show Me Healthy Babies unborn child, income 0-300% FPL | | FSD MC | Yes | Yes |
| 97 | Show Me Healthy Babies - Newborns | | FSD MC | Yes | Yes |
| 98 | Show Me Healthy Babies post-partum | | FSD MC | Yes | Yes |
| 6S | Show Me Healthy Babies - Newborns | | FSD MC | Yes | Yes |
| 9S | Show Me Healthy Babies - Newborns | | FSD MC | Yes | Yes |
