It is directed by Vanbros and Associates, based in Lenexa, Kansas.
The most recent placement was Mikala McGhee in 2022, placing Top 16.
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.
Missouri holds a record of 26 placements at Miss USA.