DSS Caseload Counter

Download historical information in Excel format Updated 10/20/2025 (includes monthly data beginning in May 2004)

MO HealthNet (MHN)
Caseload OCT 2024 NOV 2024 DEC 2024 JAN 2025 FEB 2025 MAR 2025 APR 2025 MAY 2025 JUN 2025 JUL 2025 AUG 2025 SEP 2025
MO HealthNet Enrollees1 1,277,095 1,271,610 1,260,368 1,267,002 1,285,316 1,249,096 1,244,522 1,245,906 1,242,283 1,251,211 1,260,053 1,264,417
Persons with Disabilities 124,654 123,830 123,562 123,222 145,706 121,993 121,644 120,858 120,840 120,786 121,496 121,865
Elderly 93,662 94,023 94,178 94,411 105,970 94,643 95,824 95,944 96,368 96,914 97,523 98,182
Custodial Parents 81,925 79,360 77,979 78,131 74,113 73,347 72,148 71,282 70,982 71,531 72,248 72,397
Children 604,644 600,990 591,518 592,002 580,035 576,933 573,615 574,082 568,625 572,308 575,600 576,129
Pregnant Women 32,223 31,656 31,225 31,161 30,699 32,256 32,490 33,997 35,294 37,062 37,721 38,190
Adult Expansion 339,987 341,751 341,906 348,075 348,793 349,924 348,821 349,743 350,174 352,610 355,465 357,654
Women’s Health Services, MHN2 26,257 27,077 26,572 26,572 26,390 25,773 24,280 24,646 23,988 24,139 24,417 24,454
Family Services
Caseload OCT 2024 NOV 2024 DEC 2024 JAN 2025 FEB 2025 MAR 2025 APR 2025 MAY 2025 JUN 2025 JUL 2025 AUG 2025 SEP 2025
Child Support Cases3 282,403 282,177 281,825 281,308 280,759 282,299 281,596 280,584 279,677 279,359 278,953 278,221
Food Stamp Families4 331,053 328,603 328,068 324,222 321,003 320,997 320,118 322,265 324,645 326,153 328,395 329,021
Food Stamp Individuals 674,772 670,282 668,210 659,962 654,673 654,108 652,427 655,940 660,033 662,806 667,531 667,837
Temporary Assistance Families5 5,658 5,553 5,556 5,429 5,308 5,212 5,059 4,986 5,011 5,009 4,951 4,992
Temporary Assistance Children 10,568 10,386 10,392 10,229 9,927 9,733 9,451 9,292 9,298 9,344 9,235 9,267
Temporary Assistance Individuals 14,070 13,820 13,865 13,646 13,240 12,952 12,530 12,280 12,319 12,365 12,194 12,284
Child/Youth Services
Caseload OCT 2024 NOV 2024 DEC 2024 JAN 2025 FEB 2025 MAR 2025 APR 2025 MAY 2025 JUN 2025 JUL 2025 AUG 2025 SEP 2025
Foster Care Children6 11,400 11,303 11,159 11,070 11,041 11,085 11,049 11,140 11,119 11,209 11,394 11,639
Children Awaiting Adoption7 1,887 1,867 1,834 1,786 1,758 1,742 1,773 1,755 1,747 1,735 1,741 1,696
Adoptions Finalized 7 69 46 82 44 39 59 41 41 35 63 56 62
Children Receiving Subsidized Child Care8, 10 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Youth in DYS Custody9 803 810 799 803 800 805 824 826 829 830 808 800

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.