ma4 is Missouri’s trusted voice on aging. Advocacy. Information. Services.
BUILDING CAPACITY
ma4 supports the effectiveness and capacity of Missouri’s AAAs by working with community partners to strengthen advocacy efforts, share information, maximize resources, and assist staff and caregivers in supporting adults to live independently, in the homes of their choice, for as long as they choose.
BUILDING CONNECTIONS
ma4 is the statewide association of Area Agencies on Aging (AAAs), which together provide over $140 M in services annually to adults 60+ in every county in Missouri.
Services include nutrition interventions (home delivered and congregate) meals, wellness, chronic disease management, home modification, care transitions, transportation, social connectedness, caregiving, in-home and personal care services, Medicare options counseling, legal services, ongoing learning, and many other services intended to help adults age in the place they call home.
Missouri’s AAAs have earned deep the deep trust of older adults and their caregivers through decades of reliable, compassionate service. Our ten AAAs and 200+ Senior Centers function as lifelines and community anchors, reaching every county across the state with vital supports that help seniors live independently and with dignity.

A Smart Investment for Missouri
Providing in-home services through Area Agencies on Aging isn’t just compassionate—it’s fiscally responsible. For the same cost to the state, AAAs can provide one year of home-delivered meals and regular wellness checks – as compared to one day in an emergency room, or ten days in a nursing home:
$3.81 X RETURN ON INVESTMENT
Every dollar invested in Missouri’s AAAs leverages $3.81 in community value and taxpayer savings. Missouri seniors gained an EXTRA 575,584 DAYS living in community and avoiding hospital stays and institutional care. Learn More
$140 Million Invested in Missouri’s Economy by Missouri’s 10 AAAs
150,000 Older Adults Served in Missouri’s 115 Counties
10 Million Nutritious Meal Interventions

| When AAAs are Under-Funded | When AAAs are Funded |
|---|---|
| Costly medical bills after a senior suffers a preventable fall | Wellness classes that build balance and prevent falls |
| Hospital stays driven by malnourishment and isolation | Nutritious meals and wellness checks delivered by caring volunteers |
| Emergency room visits just to find a touch of human connection | Reassurance calls reminding seniors they are not alone |
| Costly emergency transport as the only option | Reliable local transportation to essential medical visits |
| Rapid health decline when a senior loses purpose and community | Active senior centers where friends meet, care, and thrive together |

