Missouri Association of Area Agencies on Aging

What Missouri Association of Area Agencies on Aging does

Missouri Association of Area Agencies on Aging (ma4) is the Jefferson City–based, nonprofit statewide membership association founded in 1973 that represents and coordinates Missouri's 10 federally designated Area Agencies on Aging (AAAs). Through those member AAAs, ma4's network delivers an array of Older Americans Act–authorized services — including congregate and home-delivered meals, in-home personal care, transportation, caregiver respite, benefits counseling, and senior center programming — across all 114 Missouri counties plus the City of St. Louis, touching approximately 150,000 older adults annually and operating more than 200 senior centers.

Services are provided at no direct cost to consumers and are funded through federal Older Americans Act appropriations passed through the Administration for Community Living, the Missouri Department of Health and Senior Services (including the Senior Services Growth and Development Program, fully funded at approximately $8 million in FY2024), Medicaid, county contributions, and charitable donations. In FY24, the network delivered 10.2 million meals and enabled 575,584 additional days of older adults living in their communities rather than in institutional care. The organization publishes an asserted return on investment of $3.81 per public dollar invested.

ma4 also functions as a coordinating and advocacy body, hosting the annual Show Me Summit on Aging & Health, operating the federal CMS Medicare Navigator program, promoting initiatives such as the Missouri Caregiver Shared Care Tax Credit and Dementia Friends Missouri, and pursuing legislative priorities including Older Americans Act reauthorization and protections for senior consumers. Its governance posture is reflected in Candid's Platinum Seal of Transparency (2022). The statewide association itself operates with a small staff (1–10 employees) under Executive Director Julie Peetz; it is a member of USAging, the national association.

Name

Missouri Association of Area Agencies on Aging

Legal name

Missouri Association of Area Agencies on Aging

Website

https://ma4web.org

Company type

Private

Founded year

1973

Operating status

Operating

Headcount range

1–10 employees

Short description

Missouri Association of Area Agencies on Aging (ma4) is the Jefferson City–based nonprofit, founded in 1973, that coordinates Missouri's 10 Area Agencies on Aging. The network delivers Older Americans Act services — meals, in-home care, transportation, and caregiver support — to roughly 150,000 older adults annually across all 114 Missouri counties.

Ownership category

akta.pro rank

Product category

Aging Services Coordination

NAICS

Services for the Elderly and Persons with Disabilities (624120), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Social Services (8300)

akta.pro primary industry

Elder Services & Aging Support (BPAGAEAF)

akta.pro secondary industries

Behavioral Health & Cognitive Support Coordination (Dementia, Depression, SUD) (HSABAIAF), MA Chronic Condition Management & Supplemental Benefits (SSBCI) (HLAEACAI)

Keywords

• Aging services coordination
• Community-based elder care
• Nonprofit advocacy association
• Senior resource navigation
• Medicare Medicaid counseling

Headquarters

HQ city

Jefferson City

HQ country

United States

HQ region

North America

Offices11 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Others

Revenue model

1. Federal Older Americans Act (OAA) Funding: Federal funds allocated through the Administration on Community Living (ACL) via the Missouri Division of Senior & Disability Services (DSDS), distributed to AAAs using interstate and intrastate funding formulas based on senior census and economic need. OAA programs include nutrition (Title III C), supportive services (Title III B), disease prevention (Title III D), and caregiver support (Title III E).
2. Missouri General Revenue & State Dedicated Funds: State general revenue appropriations and the Senior Services Growth and Development Program Fund (SSGDP), a dedicated Missouri state fund (RSMo Section 192.385) established to supplement federal OAA funding for senior services delivered through AAAs. SSGDP was fully funded in FY2024 at approximately $8 million annually, though it faced a 20% cut in the 2026 legislative session for SFY2027.
3. Missouri Medicaid (MO HealthNet): Medicaid reimbursements for home-delivered meals and other home and community-based services (HCBS) provided to eligible older adults. The current Medicaid meal reimbursement rate was $6.21/meal (FY22), against an actual cost of approximately $9.97/meal, with a Mercer rate study proposing new rates of $10.09–$10.99/meal. Missouri AAAs also receive Social Service Block Grants.
4. County/City Senior Citizens' Services Funds: Local government funds from counties and municipalities that support senior services, used to supplement state and federal funding at the local AAA level.
5. Customer Contributions & Private Donations: Voluntary donations from seniors and community members receiving AAA services, as well as private contributions from individuals, businesses, and foundations. ma4 maintains a donation portal accepting one-time and monthly gifts. For every $1 of federal funding, AAAs leverage approximately $3.81 in local and private resources.
6. Federal Navigator Grant (CMS): ma4 has provided Federal Navigator services since the onset of the Health Insurance Marketplace, funded by the Centers for Medicare & Medicaid Services (CMS). Navigators provide free, unbiased assistance with Marketplace enrollment at no cost to consumers.

Pricing tiers

Go-to-market motion2 records

Distribution channels7 records

Marketing channels8 records

Core offering

ma4 is the statewide association that coordinates Missouri's ten Area Agencies on Aging (AAAs) to deliver a portfolio of home and community-based services for adults aged 60+ and adults with disabilities. Core offerings include home-delivered meals, in-home non-medical care, transportation, 200+ senior centers, caregiver respite and training, evidence-based wellness and falls-prevention programs, long-term care Ombudsman advocacy, Medicare/Medicaid/Marketplace benefits counseling and enrollment, and senior Medicare fraud prevention — all accessed through a single statewide toll-free line and accessed free of charge to eligible adults.

Product overview

Missouri Association of Area Agencies on Aging (ma4) operates as a statewide association coordinating ten regional Area Agencies on Aging (AAAs) across Missouri's 115 counties. The organization does not offer a unified software product but rather provides a portfolio of direct service programs delivered through its AAA network. Core services include: Home Delivered Meals and Senior Centers for nutrition; Health and Wellness Programs and Falls Free Missouri for prevention; Marketplace Navigator Services, Health Insurance Guidance, and Benefits Enrollment Center for insurance assistance; Senior Medicare Patrol for fraud prevention; Long-Term Care Ombudsman for resident advocacy; Stop Elder Abuse for protection services; Caregiver Support and Dementia Friends USA for specialized populations; and Give 5 Volunteer Program for community engagement. These services are accessed through a statewide toll-free line (1-800-235-5503) and local AAA offices.

Differentiator

Problem solved

Functional benefit

Products and services

• Marketplace Navigator Services
• Health and Wellness Programs Evidence-based courses including A Matter of Balance, Chronic Disease Self-Management Program, Diabetes Self-Management Program, Powerful Tools for Caregivers, and Tai Chi for Arthritis to help older adults manage chronic conditions and maintain healthy lifestyles.
• Home Delivered Meals Nutrition services delivering meals to homebound older adults age 60+ across Missouri, providing daily nourishment along with a wellness check to enable independent living (10.2 million meals in FY24).
• Senior Centers Over 200 Senior Centers throughout Missouri offering meals, information and assistance, lifestyle and wellness classes, social activities, and community connections as community anchors for the aging services network.
• Long-Term Care Ombudsman Trained volunteers advocate on behalf of long-term care residents, helping resolve concerns about care quality, resident rights, transfers, discharges, and billing issues at nursing facilities across Missouri.
• Benefits Enrollment Center Assists Medicare beneficiaries with limited income and resources to access benefits including Medicare Part D Extra Help, Medicare Savings Programs, Medicaid, and SNAP through Benefits Enrollment Centers at AAAs.
• Health Insurance Guidance Trained counselors and federally certified Navigators provide unbiased assistance with Medicare, Medicaid, MO HealthNet, and Health Insurance Marketplace enrollment decisions.
• Senior Medicare Patrol (SMP) Empowers Medicare beneficiaries to prevent, detect, and report healthcare fraud, errors, and abuse through outreach, counseling, and education.
• Stop Elder Abuse Resources and a reporting hotline (1-800-392-0210) for adult protective services to report suspected abuse, neglect, or exploitation of vulnerable older adults.
• Caregiver Support Information, training, support services, and respite care for family caregivers, including the Missouri Caregiver Shared Care Tax Credit program.
• Dementia Friends USA Educational sessions teaching communities about dementia and focusing on five key messages to help participants understand and support those living with dementia.
• Falls Free Missouri Coalition and resources to prevent falls among older adults through evidence-based prevention programs, home safety assessments, and community partnerships.
• In-Home Services and Transportation Non-medical in-home assistance including light housekeeping, chores, and personal care, plus coordination of transportation services to medical appointments and other destinations.
• Give 5 Volunteer Program Connects skilled retirees with meaningful volunteer opportunities matching their skills and passions within the aging services network.

Quantifiable outcome

• $3.81 in community value and taxpayer savings generated per $1 invested in Missouri's AAAs
• +5 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Ten partnerships are on record, tiered core and minor.

• USAgingcoreOthersma4 is a member of USAging, the national association of Area Agencies on Aging. USAging represents 600+ AAAs and aging organizations nationwide, providing a platform for national advocacy, best practice sharing, and alignment of Missouri's aging priorities with federal policy efforts.
• Administration for Community Living (ACL)coreOthersma4 and Missouri's AAAs work closely with the federal Administration on Community Living (ACL), which administers Older Americans Act programs. ACL oversees critical programs helping older adults and people with disabilities live at home and in the community.
• Missouri Department of Health and Senior Services (DHSS)coreOthersma4 and Missouri's AAAs work closely with the Missouri Division of Senior & Disability Services (DSDS), which is Missouri's State Unit on Aging. DSDS allocates federal OAA funds to AAAs using an intrastate funding formula and oversees state aging policy.
• Missouri Silver Haired Legislature (SHL)coreOthersma4 provides advocacy support and coordination for the Missouri Silver Haired Legislature (SHL), a formally elected body of citizens aged 60+ that conducts annual legislative advocacy at the state capitol. The SHL is the first organization of its type in the United States (founded 1973).
• Missouri Council on Aging (MCoA)minorOthersma4 partners with the Missouri Council on Aging (MCoA), collaborating on advocacy for aging-friendly policies in Missouri. MCoA is another statewide aging advocacy organization in Missouri.
• Missouri Budget ProjectminorOthersma4 references and partners with the Missouri Budget Project for aging-related budget research and advocacy data. The Missouri Budget Project provides budget analysis informing ma4's advocacy around funding for older adult services.
• Missouri Division of Senior & Disability Services (DSDS)coreOthersDSDS is Missouri's State Unit on Aging, responsible for distributing federal OAA funds to AAAs using an intrastate funding formula based on senior census, economic need, and other factors. It also oversees state aging policy and programs.
• Centers for Medicare & Medicaid Services (CMS)coreOthersma4's Navigator program is funded by CMS to provide free, unbiased Health Insurance Marketplace enrollment assistance to Missouri consumers. Navigator services have been provided since the onset of the Marketplace.
• Missouri SHIP (State Health Insurance Assistance Program)minorOthersma4 partners with Missouri SHIP, a federally funded program providing free, unbiased Medicare counseling and education. ma4 helps schedule appointments for SHIP counseling (1.800.390.3330) through its Navigator and health insurance guidance services.
• Cover MissouriminorGTM or Marketing PartnerCover Missouri is referenced as an alternative channel for Marketplace enrollment assistance, complementing ma4's Navigator program. Cover Missouri helps Missourians get, keep, and use their health coverage.

Scale indicators13 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• National Council on Aging (NCOA): National nonprofit focused on improving the lives of older adults through benefits access, economic security, and healthy aging programs. Operates the Benefits CheckUp tool that ma4 leverages; comparable in mission and in delivering benefits enrollment services to seniors.
• LeadingAge: National association of nonprofit aging services providers including CCRCs, assisted living, and home- and community-based services. Comparable in mission to improve aging services quality and advocate for supportive policies, though focused on provider operators rather than AAA associations.
• AARP: Largest U.S. advocacy organization for people 50+, with state-level offices including Missouri. Comparable as a high-scale aging advocacy and policy organization that overlaps with ma4 in legislative priorities and senior outreach, but at a national scale.
• USAging: National association representing 600+ Area Agencies on Aging and Title VI Native American aging programs. Directly comparable as ma4's national umbrella organization and policy advocacy counterpart, with similar mission and member-driven governance model.

Direct peers

• Illinois Association of Area Agencies on Aging: Statewide association of Illinois Area Agencies on Aging. Structurally identical peer to ma4: nonprofit coordinating body for multiple regional AAAs delivering OAA-funded services (meals, in-home care, caregiver support) across an entire state.
• Ohio Association of Area Agencies on Aging: Statewide association representing Ohio's 12 AAAs (PASSPORT programs). Comparable to ma4 in advocating for OAA funding, coordinating regional AAA services, and operating Navigator/benefits enrollment programs.
• Meals on Wheels America: National organization supporting a network of 5,000+ community-based programs delivering home-delivered meals to seniors. Directly comparable to ma4's home-delivered meals service line and nutrition advocacy mission, with overlapping funding sources (OAA, state, local).

Others

• Missouri Silver Haired Legislature: Formally elected body of Missourians aged 60+ that conducts annual legislative advocacy at the state capitol. ma4 provides coordination support; closely allied rather than competitive, but functionally comparable as a senior-led aging advocacy channel in Missouri.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/ma4voice
• YouTubeyoutube.com/channel/UCW-1PVxz8gd1XsQASSakIxA
• Facebookfacebook.com/MissouriAssociationOfAreaAgenciesOnAging
• LinkedInlinkedin.com/company/missouri-association-of-area-agencies-on-aging

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Missouri Association of Area Agencies on Aging