Caseload Counter History

Download historical information in Excel format Updated 7/20/2026 (includes monthly data beginning in May 2004)

MO HealthNet (MHN)

CaseloadJUL 2025AUG 2025SEP 2025OCT 2025NOV 2025DEC 2025JAN 2026FEB 2026MAR 2026APR 2026MAY 2026JUN 2026JUL 2026AUG 2026
MO HealthNet Enrollees11,251,2111,260,0531,264,4171,269,2241,267,0481,262,3201,262,1051,255,3831,259,4181,256,7561,255,9411,255,0351,258,3301,256,699
Persons with Disabilities120,786121,496121,865119,715120,756120,521120,302120,429120,340119,042118,821117,012117,774117,596
Elderly96,91497,52398,18298,92599,31199,729100,081100,150100,512100,163100,354101,078101,323101,749
Custodial Parents71,53172,24872,39771,80370,86069,44268,70867,27967,32567,09067,09166,97166,96767,127
Children572,308575,600576,129578,039574,552569,863568,088563,157564,797563,873563,235563,350564,748564,927
Pregnant Women37,06237,72138,19038,43938,53739,12439,78139,79140,62641,35441,69842,18142,61642,579
Adult Expansion352,610355,465357,654362,303363,032363,641365,145364,577365,818365,234364,742364,443364,902362,721
Women’s Health Services, MHN224,13924,41724,45424,81024,80725,07025,07825,32825,71825,20525,67526,49427,68828,980

 

Family Services

CaseloadJUL 2025AUG 2025SEP 2025OCT 2025NOV 2025DEC 2025JAN 2026FEB 2026MAR 2026APR 2026MAY 2026JUN 2026JUL 2026AUG 2026
Child Support Cases3279,359278,953278,221276,865274,894275,392275,138274,583273,991272,686271,770271,006270,010269,896
Food Stamp Families4326,153328,395329,021325,168317,096312,368308,118305,628302,581300,971300,721299,939305,827309,081
Food Stamp Individuals662,806667,531667,837659,757642,563632,439623,903618,825614,370613,272614,331613,127623,099629,359
Temporary Assistance Families55,0094,9514,9924,9324,7574,5604,2944,2574,1694,0613,9864,0213,9813,974
Temporary Assistance Individuals12,36512,19412,28412,12411,62611,09310,39210,1959,8619,6199,3989,5379,4049,360
Temporary Assistance Children9,3449,2359,2679,1348,7988,4117,8847,7377,5107,3347,1577,2467,1387,094

 

Child/Youth Services

CaseloadJUL 2025AUG 2025SEP 2025OCT 2025NOV 2025DEC 2025JAN 2026FEB 2026MAR 2026APR 2026MAY 2026JUN 2026JUL 2026AUG 2026
Foster Care Children611,20911,39411,63911,75511,86211,93512,07212,20912,38812,52612,66012,63312,78812,830
Children Awaiting Adoption71,7351,7411,6961,6711,6461,6101,6221,6091,6161,5781,5501,5131,4801,463
Adoptions Finalized 76356623928533030464577433431
Children Receiving Subsidized Child Care8, 10N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Youth in DYS Custody9830808800790792790781791797780777770772760

 

1 Family Support Division/HealthNet Division-Monthly Management Report, Table 23.

Beginning August 2012, this count allows for more timely reporting of MO HealthNet eligibles; prior months reflect waiting two months for data. MO HealthNet Enrollees are categorized from Table 23 based on the following: Persons with Disabilities = Permanently and Totally Disabled (PTD), Aid to Blind, Blind Pension, Workers with Disabilities TWHA Premium, Workers with Disabilities TWHA Non Premium; Elderly = Old Age Assistance (OAA), Qualified Medicare Beneficiary (QMB); Custodial Parents = MO HealthNet for Families (MHF)-Adult, General Relief (GR) (prior to July 2005), Refugee, 1115 Waiver Adult - Extended Transitional Medical Assistance (prior to July 2005), Women with Breast or Cervical Cancer (BCCT), Independent Foster Care Children Age 18-21; Children = MO HealthNet for Families (MHF)-Child, Foster Care, Child Welfare, Children in a Vendor Institution, DYS-GR, MO HealthNet for Kids (Title XIX), Title XIX HDN, Missouri Children with Developmental Disabilities, MO HealthNet for Kids (SCHIP), Presumptive Eligibility for Kids, Voluntary Placement; Pregnant Women = MO HealthNet for Pregnant Women MAF Income, MO HealthNet for Pregnant Women (Poverty), Presumptive Eligibility. Table 23 adjusted for new Table 24 as of July 2009.

2 Family Support Division/MO HealthNet Division–Monthly Management Report , Table 24.

Beginning August 2012, this count allows for more timely reporting of MO HealthNet eligibles; prior months reflect waiting two months for data. Women's Health Services = Extended Women's Health, Uninsured Women's Health Services - New Table as of July 2009.

3 Missouri Automated Child Support System (MACSS) Monthly Report. The count represents active IV–D cases as of the last day of the month. IV–D cases are where the custodial party is receiving Child Support services offered by the state.

4 Family Support Division/MO HealthNet Division-Monthly Management Report, Table 25.

5 Family Support Division/MO HealthNet Division-Monthly Management Report, Table 1.

6 Children’s Division Management Report, Table 25, Legal Status 1 only. This is a point-in-time count at the end of each month.

7 Children’s Division Management Report, Table 23, Children with a goal of adoption-termination of parental rights (TPR) both complete and incomplete. This is a point-in-time count at the end of each month.

8 Child Care Monthly Management Report, Table 4, Child Care Development Block Grant (CCDBG) only. This count represents anyone eligible during the month.

9 Division of Youth Services (DYS) Monthly Extract file. The count represents children in custody on the last day of the month.

10 Effective December 2023, Child Care data is no longer available to DSS. Eligibility for the Child Care Subsidy program was transitioned to DESE’s Child Care Data System (CCDS). DESE took over administration and policy for the CC subsidy program August 28th, 2021.