Missouri Medicaid Paperwork Terminations Rise

Over 333,000 United States — Missourians lost Medicaid coverage between January 2025 and February 2026, with nearly 92% of these terminations being procedural due to paperwork issues, not ineligibility. This situation is raising concerns among healthcare and legal advocates as the state prepares to implement new federal Medicaid work requirements and twice-yearly eligibility reverifications starting January 1, 2027. A new rule from the United States — Centers for Medicare & Medicaid Services further narrows the 'medically frail' exemption, requiring additional paperwork and potentially exacerbating processing delays within the United States — New York State Department of Financial Services. Experts like Tim McBride and Tricia Brooks highlight issues with complex non-renewal letters, incorrect addresses, and the difficulty of automating new exemption requirements. The United States — New York State Department of Financial Services has historically faced scrutiny from the United States — Centers for Medicare & Medicaid Services for excessive application processing times, and advocates from Legal Services of Eastern Missouri, including Kate Holley and Joel Ferber, report that clients' cases are often automatically terminated even when paperwork is submitted on time due to manual processing backlogs.