Benefit Tables | mydss.mo.gov

Benefit Tables

Benefit Tables show benefits and limitations for each MO HealthNet Program. Refer to specific Provider Manuals for additional information.

All Benefit Tables

Ambulance (Emergency Only)

Ambulance - Treat No Transport

Ambulatory Surgical Center

Applied Behavior Analysis

Biopsychosocial Treatment of Obesity

Certified Nurse Practitioner

Certified Nurse Practitioner

Chiropractor Medicine

Community Psychiatric Rehabilitation

Complementary and Alternative Therapies for Chronic Pain Management

Comprehensive Day Rehabilitation

Comprehensive Substance Treatment & Rehab (CSTAR)

Diabetes Prevention Program

Diabetes Self-Management

Durable Medical Equipment

Family Planning

Habilitative Therapy - Occupational, Physical & Speech

Hospital - Inpatient

Hospital - Outpatient

Intermediate Care Facility - Intellectual Disabilities

Laboratory & Radiology

Licensed Clinical Social Worker (LCSW)

Licensed Marital Family Therapist (LMFT)

Licensed Professional Counselor (LPC)

Non-Emergency Medical Transportation

Nursing Facilities

Physicians and Clinics

Private Duty Nursing

Program of All-Inclusive Care for the Elderly (PACE)

Targeted Case Management for Individuals with Developmental Disabilities

Targeted Case Management for Mental Illness & Serious Emotional Disturbance

Therapy - Occupational, Physical, and Speech