The Miss Missouri USA competition is the pageant that selects the representative for the state Missouri in the Miss USA pageant. It is directed by Vanbros and Associates, based in Lenexa, Kansas. In 1993, Missouri joined the Vanbros group of state pageants for the Miss USA and Teen USA system.
Missouri has had only one Miss USA, Shandi Finnessey, who placed as 1st runner-up to Jennifer Hawkins of Australia in the Miss Universe 2004 pageant. The most recent placement was Mikala McGhee in 2022, placing Top 16. Three Miss Missouri USAs have competed at Miss America, including Finnessey. Six former Miss Teen USA delegates have also won the title, equalling Indiana and Virginia for the most crossovers, although both Indiana and Missouri have had titleholders who competed in a different state at Miss Teen USA.
Ashleigh Bedwell of Campbell was crowned Miss Missouri USA 2024 on June 15, 2024 at Polsky Theater in Overland Park. She will represent Missouri at Miss USA 2024.
Top 15/16/20: Alice Jean Porritt (1954), Barbara Jayne Stell (1959), Marilyn Jean Stalcup (1960), Hope Driskill (2011), Megan Renee Kelly (2020), Mikala McGhee (2022)
Missouri holds a record of 26 placements at Miss USA.
Assumed the state title after 1st runner-up Danielle Crafton (when she already crowned a title unrelated to Miss USA system) declined the title when Shandi Finnessey won Miss USA title