The Medically Fragile Adult Waiver offers services to individuals who have serious and complex medical needs and are no longer eligible for services under the Healthy Children and Youth program. To be eligible, an individual must be age 21 or older and assessed as requiring placement in an ICF/MR absent these services. The services available include attendant care, private duty nursing, and specialized medical supplies. The Department of Health and Senior Services, Bureau of Special Health Care Needs administers this program.
Public Notice
Waiver Documents
Provider Manual
Education & Training
Forms
- Provider Forms
- Provider Update Request
- Medically Fragile Adult Waiver Addendum to MMAC Provider Agreement for Home Health, Personal Care or Private Duty Nursing Services
- Medically Fragile Adult Waiver Provider Monitoring Log
- Medically Fragile Adult Waiver Private Duty Nursing Acceptance
Resources
MO HealthNet News
The table below provides general information and updates that are relevant to this program page, as well as all MO HealthNet providers. To find information for all other MO HealthNet programs, or to search by date, program or keyword, visit the MO HealthNet News page. If you would like to receive updates in your inbox, subscribe to MO HealthNet News!
| Date | Volume Number | Subject | Type | Program |
|---|---|---|---|---|
| 10/01/2026 | 49-17 | ICD-10 Annual Update | Bulletins | All MO HealthNet Providers |
| 09/24/2026 | Updated MO HealthNet Provider Training Schedule Now Available | Hot Tips | All MO HealthNet Providers | |
| 09/23/2026 | Missouri Waiver Programs: Information for Participants & New Navigation Tool | Hot Tips | All MO HealthNet Providers | |
| 09/21/2026 | FCSR Registration Fee Increase | Hot Tips | All MO HealthNet Providers | |
| 09/16/2026 | Provider Enrollment Update | Hot Tips | All MO HealthNet Providers | |
| 09/04/2026 | 49-14 | REVISED Billing Guidance Update for Specialized Infant Formulas | Bulletins | All MO HealthNet Providers |
| 09/01/2026 | Physical Therapy | Hot Tips | All MO HealthNet Providers | |
| 08/25/2026 | 49-12 | Participation Requirements for MO HealthNet Managed Care | Bulletins | All MO HealthNet Providers |
| 08/18/2026 | Resolve Managed Care Claim Issues Faster with Our New Online Form! | Hot Tips | All MO HealthNet Providers | |
| 08/18/2026 | Changes to Preferred Biosimilar Medications | Hot Tips | All MO HealthNet Providers | |
| 08/17/2026 | Optimizing Benefits for Maternal and Infant Health: Join Us in Joplin on September 22 | Hot Tips | All MO HealthNet Providers | |
| 08/12/2026 | Manually Priced Procedures | Hot Tips | All MO HealthNet Providers | |
| 08/10/2026 | Pharmacy Administration Helpdesk Change of Business Hours | Hot Tips | All MO HealthNet Providers | |
| 08/03/2026 | TPL Insurance Forms Portal | Hot Tips | All MO HealthNet Providers | |
| 08/03/2026 | Changes to Preferred Biosimilar Medications Effective October 1, 2026 | Hot Tips | All MO HealthNet Providers |