Missouri is one of 26 states ceding control of the insurance program to Washington, which is also teaming up with seven other states to run joint programs.
The backlash against working for free comes after a federal judge ruled that Fox Searchlight Pictures violated federal minimum wage and overtime laws by not paying interns who worked on "Black Swan."
Missouri's health department has been forced to hire temporary workers and enlist state employees to help a private business facing complaints about its poor screening of Medicaid patients
An Indiana company hired to determine the eligibility of Missouri Medicaid patients for in-home care has instead "been a complete disaster from the beginning," statewide health care advocates charged on Tuesday.