Healthy Children and Youth Eligibility

Eligibility

This program is available to all MO HealthNet (formerly Medicaid) eligible children (birth to age 21) residing in Missouri who are in need of medically necessary services from MO HealthNet providers.

The participant must:

How to Apply

Contact any of the Regional Offices to make a referral for enrollment.

Enrollment form, CC-1, can be printed by selecting the link below:
English
Spanish (Espanol)
Somali

Be sure to print both pages pages. The second page provides instructions on filling out the application. You can take the form to your local SHCN office. They can help you fill out the form or send the form to SHCN.