Missouri families on Medicaid are heading into a period in which the paperwork, not the eligibility rules, is the most likely reason coverage ends.
Federal data already shows this pattern clearly. More than 333,000 Missourians lost MO HealthNet coverage between January 2025 and February 2026, and 91.9 percent of those losses were procedural terminations, according to figures from the Centers for Medicare and Medicaid Services reported by the Missouri Independent. A procedural termination means the state could not determine whether a person still qualified because forms were missing, incomplete, or unprocessed.