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Applications & Forms

Every form you might need, in one place.

Direct links to Missouri state-published applications for Medicaid, Aged Blind & Disabled, Blind Pension, and federal VA forms. Save yourself the digging.

Missouri Medicaid

MO HealthNet applications.

Missouri's Medicaid program is called MO HealthNet. Most home-care benefits start here.

MO Department of Social Services

MO HealthNet (Medicaid) Application

Apply for Missouri's general Medicaid program. Online application via mydss.mo.gov is the fastest path.

Apply online at mydss.mo.gov →
MO Department of Social Services

MO HealthNet for the Aged, Blind, and Disabled (MHABD)

Medicaid program for individuals 65+, blind, or with a disability. Often the program that opens IHS and CDS for older adults.

Learn about MHABD & eligibility →
MO Department of Social Services

Blind Pension Program

Cash assistance and Medicaid for individuals who are legally blind. Separate from MO HealthNet.

Blind Pension info & application →
MO Department of Social Services

Authorized Representative Form

Designate someone (a spouse, child, or trusted person) to handle Medicaid paperwork on your behalf.

DSS forms library →
Veterans Administration

VA benefits applications.

For wartime Veterans and surviving spouses who may qualify for in-home support.

U.S. Department of Veterans Affairs

VA Form 21P-527EZ — Pension & Aid & Attendance

Apply for Veterans Pension, including the Aid & Attendance allowance that can help pay for in-home care.

VA Form 21P-527EZ →
U.S. Department of Veterans Affairs

VA Form 21P-534EZ — Survivors Pension

Apply for Survivors Pension and Aid & Attendance benefits for surviving spouses and children of deceased wartime Veterans.

VA Form 21P-534EZ →
U.S. Department of Veterans Affairs

Aid & Attendance Eligibility

VA's official guide to who qualifies for Aid & Attendance and Housebound benefits, and how the application process works.

VA Aid & Attendance info →
U.S. Department of Veterans Affairs

VA Health Benefits Application (Form 10-10EZ)

Enroll in VA health care — the gateway to a variety of VA in-home support programs.

Apply for VA health care →
Helpful Resources

Other places that can help.

Federal — HHS

Eldercare Locator

A free national service connecting older adults and caregivers with trustworthy local support resources.

Visit eldercare.acl.gov →
Missouri DHSS

Home & Community-Based Services

Missouri Department of Health & Senior Services' home and community-based services overview.

MO DHSS senior services →
Federal — CMS

Medicare.gov Home Health Compare

Compare Medicare-certified home health agencies (note: ABC LifeCare offers home care, which is different from Medicare home health).

Medicare care compare →
Missouri Bar

Free Legal Help for Seniors

Legal Services of Missouri provides free legal advice on Medicaid, estate planning, and benefits to qualifying seniors.

Legal Services of Missouri →
Need Help Filling These Out?

You don't have to do this alone.

Most of these forms ask for information you may not have on hand — income, assets, medical history, prior addresses. Our team has helped hundreds of families through them. The consultation is free.

Get help with paperwork

Links to external sites are provided for your convenience. ABC LifeCare is not responsible for the content of third-party websites, and external resources may change without notice. Always verify program eligibility with the issuing agency.