Bollinger County
- Highway 34 Intersection improvements at Rte. B.
- Highway 51 Intersection improvements at Rte. 72.
- Route B Add rumble stripes from Rte. 72 to Rte. 34.
Butler County
- Highway 67 Add lanes to provide four lane highway from County Road 272 to the Arkansas State Line.
- Highway 67 Upgrade to four lane freeway from Rte. 160 to the City of Neelyville.
- Route M Safety improvements at Butler County Road 459.
Cape Girardeau County
- Highway 61 Bridge replacement over Hubble Creek.
- Highway 61 Intersection improvements at Mary Street in Jackson.
- Route Z Bridge replacements over Hubble Creek Overflow and Hubble Creek.
- Highway 61 Intersection improvements from Rte. D to Barton Square in Jackson.
- I-55 Interchange improvements at Rte. 74.
- Highway 61 Intersection improvements from I-55 in Fruitland to Rte. D.
- Highway 61 Intersection improvements at South Shawnee Boulevard in Jackson.
- Highway 61 Intersection improvements at South Donna Drive in Jackson.
- Bloomfield Rd Bridge replacement over I-55.
Carter County
- Route D Pavement improvements and add rumble stripes from Reynolds County Road 631 to Bus. 60.
- Route A Bridge replacement over Cane Creek.
- Route N Bridge replacement over Middle Brushy Creek.
Douglas County
- Highway 14 Intersection improvements at North Jefferson Avenue in Ava.
- Highway 5 Intersection improvements at Rte Y.
- Highway 14 Pavement improvements, add rumble stripes and guardrail upgrades from Rte. O to the Beaver Creek Bridge.
Douglas/Ozark Counties
- Highway 5 Add shoulders from Rte. A in Douglas County to Rte. MM in Ozark County.
Dunklin County
- Highway 412 Scoping for adding lanes to provide four lane highway from Rte. AC to Rte. O.
- Bus 25 Intersection improvements from Rte. 25 south to Broadwater Road in Malden.
- Highway 412 Add lanes to provide four lane highway from County Road 562 to Rte. O.
Howell County
- Highway 160 Capital improvements from Rte. 63 to Bus. 63.
- Highway 63 Add lanes to provide four lane highway from Bill Virdon Blvd. in West Plains to Rte. PP.
- Bus 63 Intersection improvements at North Howell Avenue in West Plains.
- Highway 160 Intersection improvements at Rte. BB.
- Highway 63 Add lanes to provide four lane highway from Rte. PP to County Road 8820.
Iron County
- Highway 32 Safety improvements from the west intersection of Rte. 49 to the east intersection of Rte. 49.
- Highway 21 Safety improvements from Rte. E to Rte. CC.
Iron/Madison Counties
- Highway 72 Add shoulders from Rte. 21 to Rte. 67.
Madison County
- Highway 72 Intersection improvements from Chamber Drive to Sargent Drive in Fredericktown.
- Route J Safety improvements from County Road 250 to Rte. W.
Mississippi County
- Highway 62 Intersection improvements at I-57.
- Route B Pavement improvements and add rumble stripes from Rte. 62 to Rte. 80.
New Madrid County
- Bus 60 Pavement improvements and add rumble stripes from Rte. 60 to Rte. BB.
- Route AB Pavement improvements from Rte. WW to the end of state maintenance.
- Route Z Intersection improvements at County Road 480 in New Madrid County.
- Route EE Add railroad overpass at St. Jude's Industrial Park.
- Route EE Bridge replacement over I-55.
- I-55 Add interchange at Rte. U.
Oregon County
- Highway 142 Raise roadway on east side of Eleven Point River Bridge.
Pemiscot County
- Route E Pavement improvements from Rte. 61 to County Road 568.
- Route CC Pavement improvements from the beginning of state maintenance to Rte. A.
Perry County
- Highway 61 Intersection improvements at Rte. AC.
- Highway 51 Intersection improvements from Old St. Mary Road to Brenda Avenue.
- I-55 Add interchange 1.3 miles north of Rte. T.
Perry/Cape Girardeau Counties
- Highway 61 Add shoulders from County Road 411 in Perry County to County Road 540 in Cape Girardeau County.
Reynolds County
- Route F Add new bridge over Logan Creek.
Ripley County
- Highway 142 Bridge replacement over Harris Creek.
- Highway 142 Bridge replacement over Ditch #2.
- Highway 142 Culvert replacement 0.1 miles west of Rte. V.
- Route K Safety improvements from Little Black River to Ripley County Road K-3.
Scott County
- Route HH Intersection improvements at Ingram Road.
- Route HH Intersection improvements at Rte. H.
- Route ZZ Pavement improvements and add rumble stripes from Rte. BB to Rte. 61.
- Route BB Pavement improvements and add rumble stripes from Rte. ZZ to Bus. 60.
Shannon County
- Highway 60 Intersection improvements at Rte. 99.
- Highway 60 Intersection improvements at the east intersection of Rte. 19.
- Highway 60 Intersection improvements at the west intersection of Rte. 19.
St. Francois County
- Route K Intersection improvements at North Wood Drive in Bonne Terre.
- Highway 8 Intersection improvements from Hawthorne Street to Rte. 67 in Desloge.
- Highway 67 Interchange improvements at Rte. 32 in Leadington.
Ste. Genevieve County
- Highway 61 Intersection improvements at Industrial River Road.
- Highway 32 Intersection improvements at I-55.
Stoddard County
- Route N Pavement improvements from Rte. 91 to Rte. AB.
- Route CC Pavement improvements from Rte. 114 to Rte. A.
- Route A Pavement improvements from Rte. 153 to County Road 629 in New Madrid County.
- Bus 60 Capital improvements from Arvin Road to One Mile Road in Dexter.
Texas County
- Highway 181 Intersection improvements from Main Street to Rte. 60 in Cabool.
Wayne County
- Route A Culvert replacement 0.5 miles west of Rte. 67.
- Route C Culvert replacement 1 mile north of Rte. E.
Wayne/Butler
- Counties Route T Add rumble stripes from Rte. D in Wayne County to Rte. 60 in Butler County.
Wright County
- Highway 95 Intersection improvements from Red Spring Road to Bus. 60 in Mountain Grove.
Source: MoDOT 2019 Missouri High-Priority Unfunded Needs Report