Social Security disability
Disability benefits in Missouri
Social Security rules are the same in every state. This page covers what is different in Missouri: who decides your claim, state money added to SSI, Medicaid, hearings and free help.
You have 60 days to appeal each decision, plus 5 days for mail.
Who decides your claim in Missouri?
Disability Determination Services (DDS)
This state office decides the medical part of your Social Security disability claim (SSDI and SSI). Social Security checks the other rules, like work credits and income. DDS contacts your doctors, hospitals, schools and employers to get your records.
- Part of
- Missouri Department of Elementary and Secondary Education (DESE), Office of Adult Learning and Rehabilitation Services
- Phone
- 573-751-2890 (toll-free 877-222-8963, TDD 573-751-0881)
- Missouri Disability Determination Services, 3024 Dupont Circle, Jefferson City, MO 65109 (central office; use the address on your DDS letter)
Offices
- Cape Girardeau district office (3014 Blattner Drive) · 1-800-392-0415
- Jefferson City district office (1500B Southridge Drive, Suite 100) · 1-800-347-7180
- Kansas City district office (8800 E. 63rd Street, Suite 320) (Raytown) · 1-800-584-4303
- Springfield district office (1900 E. Division Street) · 1-800-584-4305
- St. Louis district office (7545 South Lindbergh Boulevard, Suite 220) · 1-877-878-4644
Sometimes DDS needs you to have an independent medical exam to decide your claim.
Does Missouri add money to SSI?
Supplemental Nursing Care (SNC) and Supplemental Aid to the Blind (SAB)
Missouri runs its own programs. Supplemental Nursing Care (SNC) gives monthly cash to people age 21 or older who are aged, blind or disabled and live in a licensed residential care or assisted living facility. It helps when your income is less than the facility's cost. SNC pays up to $156 a month for residential care or up to $292 a month for assisted living, plus $50 a month for personal needs. In a non-Medicaid intermediate care or skilled nursing facility, it pays up to $390 a month if you need nursing-facility care. Supplemental Aid to the Blind (SAB) gives a monthly cash grant and MO HealthNet to some blind adults who apply for SSI.
Paid by: the state
| Who | State part | Total per month with SSI | Effective |
|---|---|---|---|
| Supplemental Nursing Care - person in a residential care facility (maximum facility payment; plus a $50 personal needs allowance) | $156 | $1,150 | July 2026 |
| Supplemental Nursing Care - person in an assisted living facility or residential care facility II (maximum facility payment; plus a $50 personal needs allowance) | $292 | $1,286 | July 2026 |
| Supplemental Nursing Care - person in a non-Medicaid intermediate care or skilled nursing facility who needs nursing-facility level of care (maximum facility payment; plus a $50 personal needs allowance) | $390 | $1,384 | July 2026 |
The total uses the federal SSI amount for that living arrangement. For people living on their own, the federal SSI part is $994 a month for one person or $1,491 for a couple in 2026. In another person's household or in a medical facility it is less.
- How to apply
- These payments are not automatic with SSI. You apply to the Missouri Department of Social Services, Family Support Division. If you already have MO HealthNet, send the MO HealthNet Application Addendum and check the box for Supplemental Nursing Care. You can upload it online or take it to your local FSD Resource Center. If you do not have MO HealthNet, apply for it first.
- Contact
- Missouri Department of Social Services, Family Support Division
855-373-4636 (Family Support Division Information Center)
https://dss.mo.gov/healthcare/seniors-disabled
Medicaid in Missouri
Missouri's Medicaid program is called MO HealthNet. Missouri uses its own, stricter rules for Medicaid. Getting SSI does not give you MO HealthNet by itself. You must apply to the Missouri Family Support Division. If your income is too high, you may still be able to get Medicaid with a spend down, where you pay some medical bills first.
- Program
- MO HealthNet
- Medicaid agency
- Missouri Department of Social Services, Family Support Division (MO HealthNet)
https://dss.mo.gov/healthcare/seniors-disabled
855-373-4636 (Family Support Division Information Center)
Medicaid for working people with disabilities: Ticket to Work Health Assurance (TWHA) Program
TWHA is MO HealthNet for people with disabilities who work. You must be 16 through 64 and have a job with Social Security and Medicare taxes taken out. The income limit is $3,990 a month for one person or $5,410 for a couple (300% of the poverty level), but not all income counts. For example, all SSI payments and the first $50,000 of a non-disabled spouse's yearly income are not counted. The resource limit is $6,220.50 for one person or $12,441.00 for a couple. All retirement accounts are not counted. Some people pay a premium.
https://dssmanuals.mo.gov/wp-content/uploads/2018/10/appendix_k.pdf
Medicare Savings Programs
Missouri's Medicare Savings Program (QMB, SLMB, QI-1) helps pay Medicare premiums. Apply online with the Application for Medicare Savings Program, by mail to Family Support Division, P.O. Box 2700, Jefferson City, MO 65102, or at your local FSD Resource Center. https://dss.mo.gov/healthcare/seniors-disabled
State disability and paid leave in Missouri
Missouri has no state-run short-term disability or paid medical leave program listed here.
Hearing offices and federal court in Missouri
5 hearing offices serve Missouri. Hearing office locator (Social Security)
Columbia, MO Hearing Office
Hearing office
- Address
- Suite 105, 3402 Buttonwood Drive, Columbia, MO 65201
- Phone
- (877) 331-8351
- Fax
- (833) 721-0879
Creve Coeur, MO Satellite Office
Satellite office
- Address
- Suite 100, 1285 Fern Ridge Parkway, Creve Coeur, MO 63141
- Phone
- (877) 833-2445
- Fax
- (833) 953-2009
Kansas City, MO Hearing Office
Hearing office
- Address
- Suite 910, 2300 Main, Kansas City, MO 64108-2450
- Phone
- (888) 488-7742
- Fax
- (833) 311-0098
Springfield, MO Hearing Office
Hearing office
- Address
- Suite C, 2143 East Primrose Avenue, Springfield, MO 65804
- Phone
- (888) 472-2404
- Fax
- (833) 748-0025
St. Louis, MO Hearing Office
Hearing office
- Address
- Robert A. Young Federal Building, 1222 Spruce Street, Room 6.106, St. Louis, MO 63103-9923
- Phone
- (866) 404-1859
- Fax
- (833) 311-0096
Federal district court
If you appeal to federal court, you file in the district court that covers your county.
U.S. District Court for the Eastern District of Missouri
Counties covered (49)
- Adair
- Audrain
- Bollinger
- Butler
- Cape Girardeau
- Carter
- Chariton
- Clark
- Crawford
- Dent
- Dunklin
- Franklin
- Gasconade
- Iron
- Jefferson
- Knox
- Lewis
- Lincoln
- Linn
- Macon
- Madison
- Maries
- Marion
- Mississippi
- Monroe
- Montgomery
- New Madrid
- Pemiscot
- Perry
- Phelps
- Pike
- Ralls
- Randolph
- Reynolds
- Ripley
- St. Charles
- St. Francois
- Ste. Genevieve
- St. Louis County
- St. Louis City
- Schuyler
- Scotland
- Scott
- Shannon
- Shelby
- Stoddard
- Warren
- Washington
- Wayne
U.S. District Court for the Western District of Missouri
Counties covered (66)
- Andrew
- Atchison
- Barry
- Barton
- Bates
- Benton
- Boone
- Buchanan
- Caldwell
- Callaway
- Camden
- Carroll
- Cass
- Cedar
- Christian
- Clay
- Clinton
- Cole
- Cooper
- Dade
- Dallas
- Daviess
- DeKalb
- Douglas
- Gentry
- Greene
- Grundy
- Harrison
- Henry
- Hickory
- Holt
- Howard
- Howell
- Jackson
- Jasper
- Johnson
- Laclede
- Lafayette
- Lawrence
- Livingston
- McDonald
- Mercer
- Miller
- Moniteau
- Morgan
- Newton
- Nodaway
- Oregon
- Osage
- Ozark
- Pettis
- Platte
- Polk
- Pulaski
- Putnam
- Ray
- St. Clair
- Saline
- Stone
- Sullivan
- Taney
- Texas
- Vernon
- Webster
- Worth
- Wright
Free help in Missouri
Protection & Advocacy agency (P&A)
Missouri Protection and Advocacy Services
- Phone
- 573-893-3333 (toll-free 800-392-8667, TDD 800-735-2966)
- Website
- https://www.moadvocacy.org/
Legal aid
- Legal Services of Eastern Missouri · 314-534-4200 (toll-free 800-444-0514)
https://lsem.org/ - Legal Aid of Western Missouri · 816-474-6750
https://lawmo.org/ - Mid-Missouri Legal Services · 573-442-0116 (toll-free 800-568-4931)
https://mmls.org/ - Legal Services of Southern Missouri · 1-800-444-4863
https://www.lsosm.org/
Vocational Rehabilitation (VR)
Missouri Vocational Rehabilitation (DESE)
- Phone
- 573-751-3251 (toll-free 1-877-222-8963)
Good to know in Missouri
- Missouri is a 209(b) state. Getting SSI does not give you MO HealthNet automatically. You must apply to the state. (POMS SI 01715.010)
- Missouri's Blind Pension pays a monthly cash grant of $949 and MO HealthNet to blind adults who cannot get SSI or Supplemental Aid to the Blind. You must not drive. (Missouri DSS)
- Missouri's state SSI money (Supplemental Nursing Care) is only for people in care facilities: up to $156 a month in residential care, $292 in assisted living, or $390 in a non-Medicaid nursing facility, plus $50 for personal needs. (Missouri DSS)
More RobinClaim guides for Missouri → · All states
Sources
- DESE - Disability Determination
- DESE - DD Offices
- SSA POMS SI 01715.010 - Medicaid and the SSI Program
- SSA POMS SI 01415.058 - Federally Administered Optional Supplementary Payment Programs for January 2026 (Missouri not listed)
- Missouri DSS - Programs for Seniors & Individuals with Disabilities
- Missouri DSS - MO HealthNet Eligibility for Non-MAGI Programs (07/2026)
- Missouri DSS - Blind and Visually Impaired Financial Assistance
- DESE - Vocational Rehabilitation
- MO ABLE
- NDRN - Member Agencies (Missouri)
- LSC - Our Grantees
- 28 U.S.C. §105 - Missouri (govinfo)
- Missouri DSS - Toll-Free Numbers (Family Support Division Information Center 855-373-4636)
- Legal Services of Southern Missouri
- Social Security: office locator
- Social Security: hearing office locator
Last checked: November 2026