The MO HealthNet Division (MHD) launched a dedicated webpage for the Home State Health Show Me Healthy Kids (SMHK) managed care health plan. SMHK is a specialized health plan that provides integrated medical health, behavioral health, and care management services to children and youth in the care of the state, receiving adoption or guardianship subsidy assistance, or persons under age 26 formerly in foster care.
The Missouri Hospital Association (MHA) and the Missouri Maternal-Child Learning and Action Network are pleased to announce funding from the Missouri Department of Health and Senior Services COVID-19 Statewide Health Disparities Initiative Grant to support The Cuff Kit™ Project through the Preeclampsia Foundation (PF). The Cuff Kit™ Project allows for distribution of blood pressure (BP) cuff kits to vulnerable maternal patients at high-risk for or diagnosed with blood pressure-related issues.
As a reminder, MO HealthNet reimburses for services provided via telemedicine when the service can be performed with the same standard of care as a face-to-face service. For more information, sign up for a Telemedicine webinar via our Provider Training Calendar.
Effective October 1, 2022, residential and treatment foster care (TFC) providers must begin submitting claims for the comprehensive community support (CCS) rehab per diem either to Show Me Healthy Kids (SMHK) plan, managed by Home State Health, or to MO HealthNet Division (MHD) fee-for-service, depending on the individual’s coverage.
The MHD Education and Training Unit has added several new resources to its webpage to assist providers.
The MO HealthNet Division’s Radiology Benefits Manager, HealthHelp, conducts Provider Satisfaction Surveys. As a result of these surveys, HealthHelp has created on-demand training sessions so providers can access training anytime, anywhere. Please visit the following link today and start exploring your options. https://www.gotostage.com/channel/mohealth
Respiratory syncytial virus (RSV) activity in the United States remains variable by region but is increasing in some parts of Missouri, including St. Louis and Kansas City metropolitan areas. The shift in seasonality for RSV was first noted in 2021. The American Academy of Pediatrics (AAP) supports the use of palivizumab in eligible infants in any region experiencing rates of RSV activity at any time in 2022, similar to a typical (pre-2020) fall-winter season.
1915(c) HCBS waiver services are included in the Missouri Medicaid Program under the authority of a Home and Community-Based Waiver granted by the Centers for Medicare & Medicaid Services (CMS). Under a waiver, certain services that could not otherwise be reimbursed under Title XIX may be provided to a select group of participants, in order to provide an alternative to institutional care.
MO HealthNet covers services provided via Telemedicine when the service can be performed with the same standard of care as a face to face service.
Telemedicine services may be provided to a MO HealthNet participant, while the participant is at an originating site, and the provider is at another location (the distant site.) The originating site facility fee cannot be billed to MO HealthNet when the originating site is the participant’s home.
MO HealthNet providers billing vaccines for dual eligible participants shall bill Medicare for all vaccines. Vaccine coverage under Medicare Part B includes the pneumococcal, influenza, and Hepatitis B vaccines for individuals at high or intermediate risk and vaccines directly related to, the treatment of an injury or direct exposure to a disease or condition. Other vaccines not covered by Part B, such as but not limited to Tdap, Zoster, and Hepatitis B are covered by Medicare Part D. When a provider cannot bill the Part D plan directly, the vaccine should be dispensed at a pharmacy.
