Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
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State Policy·MO·June 10, 2026

Missouri Drops 333,000 Medicaid Enrollees in 14 Months, 92% Due to Paperwork Issues

Missouri terminated Medicaid coverage for 333,265 beneficiaries between January 2025 and February 2026, with 91.9% disenrolled for procedural reasons rather than ineligibility determinations, according to CMS data. The state's high procedural termination rate indicates systemic renewal and redetermination processing problems. This disenrollment pattern affects managed care organizations through membership loss, revenue reduction, and potential contractual quality metric penalties tied to continuity of coverage. MCOs operating in Missouri face continued enrollment volatility as the state processes redeterminations.

Why it matters for managed care

High procedural disenrollment rates in Missouri signal sustained membership churn that directly impacts MCO revenue, care continuity metrics, and administrative costs associated with re-enrollment and outreach.

Managed Care

Read the full article at missouriindependent.com

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