State Profile: Missouri

Welcome to the Missouri State Profile Page! This page features a sample of survey and research results from a comprehensive review of state and local home modification activities across the country. It has a special focus on the aging population and the efforts of State Units on Aging, Area Agencies on Aging, and Native American aging service programs that are funded by the Older Americans Act Title VI Grants for Indian Tribal Organizations.

Check back as new updates will be posted periodically! Have any changes or additions? Please contact homemods@usc.edu

Government

SPOTLIGHT ON STATE LEVEL HOME MODIFICATION ACTIVITIES

This section shares information that demonstrates the need for home modification in this state and highlights some of the state's important home modification efforts, policies, and funding sources.

Home Modification and Repairs for Older Adults: Challenges and Opportunities for State Units on Aging

This report by the USC Fall Prevention Center of Excellence and ADvancing States reports on a national survey

MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES: SENIOR AND DISABILITY SERVICES (State Unit on Aging)

State Units on Aging (SUAs) are designated state-level agencies that develop and administer state plans that advocate for and provide assistance, including home modifications or repairs, to older residents, their families, and adults with physical disabilities. SUAs administer funds, including Older Americans Act funds, which may be used to support home modification or repair services through local Area Agencies on Aging and other state and local entities.
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PROGRAM
DESCRIPTION
1

Home and Community-Based Services

Home and community-based services are provided to adults age 18 and older who are Medicaid eligible and in need of assistance in the home. Services are provided through the Department of Health and Senior Services and may include home modifications.
2

Independent Living Waiver

The Independent Living Medicaid Waiver provides personal assistance services beyond the limitations of the Consumer-Directed State Plan Personal Care program. Services may include environmental accessibility adaptations. The Department of Health and Senior Services, Division of Senior and Disability Services administers this waiver program through an inter-agency agreement with the Missouri HealthNet Division.
3

Money Follows the Person Missouri

Missouri was awarded a Money Follows the Person Demonstration grant in 2007 from the Centers for Medicare and Medicaid Services. This grant program is designed to support people who have disabilities and older adults who are moving from a nursing facility or habilitation center to a community setting that meets their needs and wants. Participants that transition to the community from skilled nursing facilities can have home modifications and some repair services paid for using demonstration services funds, not to exceed $2,400.
4

Residential Dwelling Accessibility (DAT) Tax Credit

This Missouri state tax credit may be used to make the principal residential dwelling of a taxpayer with disabilities accessible. A refundable tax credit of up to $2,500 may be claimed in the same taxable year as costs were incurred.
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SPOTLIGHT ON LOCAL HOME MODIFICATION EFFORTS

This section shares information that demonstrates the need for home modification in this state and highlights some of the state's important home modification efforts, policies, and funding sources.

Building Community Capacity to Serve Older Adults: The Role of Area Agencies on Aging in Home Modifications and Repairs

This Data Brief highlights key findings from the 2019 National Survey of Area Agencies on Aging on how Area Agencies on Aging are providing and funding home modification and repair activities. It was developed by the USC Fall Prevention Center of Excellence in partnership with the National Association of Area Agencies on Aging as part of the Administration for Community Living project, “Promoting Aging in Place by Enhancing Access to Home Modifications.”
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PROGRAM
DESCRIPTION
1

Family Caregiver Support Program

Through its Family Caregiver Support Program, Care Connection for Aging Services provides family caregivers with help installing grab bars, ramps, and other assistive devices to support the caregiving experience.
2

Family Caregiver Support Program

Aging Ahead, the Mid-East Area Agency on Aging, provides a Family Caregiver Support Program wherein caregivers are given information on minor home modifications to support the caregiving process.
3

Home Safety Program

Senior Age’s Home Safety Program includes home modifications such as the installation of grab bars and handrails, hand-held showers, toilet risers, shower seats, and safety pendants that help with emergency situations. The Agency also helps with arranging a contracted handyman for repairs.