Source: Show-Me Institute
by Elias Tsapelas
“Missouri’s Medicaid enrollment numbers are telling a story, but it may not be one that the federal government wants to hear. Late last year, I wrote about a sharp and troubling decline in the number of permanently and totally disabled (PTD) Missourians enrolled in the state’s Medicaid program. Since then, the enrollment numbers have continued their downward trend, and now have fallen by more than 30,000, or 20%, since 2019, which is significantly lower than any point Missouri has seen in the last two decades. At first glance, some might assume this drop is simply a byproduct of the state’s post-pandemic Medicaid redeterminations. But as I’ve written before, I fear that explanation doesn’t add up. Permanently disabled recipients aren’t people you expect to lose coverage once their eligibility is established, given that they’re unlikely to re-enter the workforce. Instead, the data and a new quote suggest a different story: PTD shifting.” (10/01/25)
https://showmeinstitute.org/blog/medicaid/medicaid-in-trouble/