I live in MO but all my hours are through my private insurance. I can tell you though, with MO Medicaid, if you have a trach and and vent the max number of hours you will get is 16 hours a day, which is okay. It wouldn't have worked so well for us when our son was little, but it's not bad.
Melisande H. Mother to The Preeminent Grand Poohba Donovan (5/27/03), still some "resolving" apnea, on the autism spectrum and some cerebellar malformations. Trached since he was 6 weeks old. Recently DECANNULATED 4/16/09!! Big brother to Conrad!