Due to the government shutdown, updates to information on this website may be limited or delayed. State Medicaid and Children’s Health Insurance Programs (CHIP) continue to operate. Continue to work with the programs in your state to access coverage. For more information about government operating status, visit OPM.gov.

U.S. flag

An official website of the United States government

Missouri Substance Use Disorder & Serious Mental Illness Demonstration

State: Missouri
Waiver Authority:
1115
Status: Approved

Waiver Dates

Approval: 12/06/2023
Effective: 12/06/2023
Expiration: 12/31/2028

Supporting Documents

Approved Application(s) and Related Documents

Date Title
06/25/2025 Monitoring Redesign Overlay Letter (PDF, 2.07 MB)

Administrative Record

Date Title View
07/31/2025 SUD/SMI Annual Monitoring Report (Part B) – December 2023 – December 2024 (PDF, 544.51 KB)
07/31/2025 SUD/SMI Quarterly Monitoring Report (Part B) – January – March 2025 (PDF, 392.72 KB)
07/21/2025 SUD & SMI Monitoring Protocol Part A (XLSX, 238.01 KB)
07/21/2025 SUD & SMI Monitoring Protocol Part B (PDF, 424.85 KB)
05/02/2025 Demonstration Approval – Technical Corrections Letter (PDF, 2.13 MB)
03/03/2025 SUD/SMI Quarterly Monitoring Report (Part B) – July 2024 – September 2024 (PDF, 482.48 KB)
01/14/2025 Demonstration Approval (PDF, 2.09 MB)
12/09/2024 Approved Evaluation Design (PDF, 1.52 MB)
11/25/2024 SUD/SMI Quarterly Monitoring Report (Part B) – April 2024 – June 2024 (PDF, 462.62 KB)
10/11/2024 Demonstration Approval - Technical Correction Letter (PDF, 847.29 KB)
08/27/2024 SUD/SMI Quarterly Monitoring Report (Part B) - December 2023 – March 2024 (PDF, 406.71 KB)
04/03/2024 Implementation Plan Approval Letter (PDF, 830.81 KB)
12/29/2023 MO SUD IMD 1115 Acceptance Letter (PDF, 199.18 KB)
12/06/2023 SUD & SMI Demo Approval (PDF, 608.14 KB)
07/28/2022 CMS Completeness Letter (PDF, 300.25 KB)
07/28/2022 MO SMI Application (PDF, 2.1 MB) View Comments
07/15/2022 MO SUD Application (PDF, 2.17 MB) View Comments
Return to State Waivers List