Due to current supply constraints for the new RSV prophylaxis agent Beyfortus (nirsevimab), the MO HealthNet Division (MHD) will allow up to five doses of Synagis (palivizumab) for the 2023 – 2024 RSV season. Participants who meet the clinical edit requirements, including age restrictions, may receive approval for up to five doses to start the 2023 - 2024 RSV season, depending on the requested date for the initial prior authorization.
Please join the MO HealthNet Division (MHD) and meet our MHD Managed Care Health Plan representatives on November 13, 2023, at the Governor's Office Building in Jefferson City. This is a unique networking opportunity to showcase valuable benefits, incentives and resources available to perinatal patients and families including individualized Gestational Care Management for eligible patients.
Free continuing education units are available for live and recorded sessions intended for physicians, nurses, and pharmacists. Click the registration links below for course objectives and continuing education information.
The MO HealthNet Division (MHD) has been busy updating the Provider Manuals. Effective today, all of the new provider manuals will be housed on the MHD website.
Important things to note about your new Provider Manual:
The MO HealthNet Division (MHD) and the managed care health plans are collaborating on a project to educate and inform providers and participants/members on benefits and opportunities available to them during and after their pregnancy. Please take a quick five minute Maternal and Infant Health Engagement Survey to help us collect data to improve policies, payment methodologies and most importantly outcomes for pregnant and postpartum women and infants.
MHD Education and Training has posted the 1st quarter 2023 Provider Training Schedule. These trainings can also be found on the Provider Training Calendar located on the Education and Training Resources page. This quarter we are not only offering MHD Provider Training, but also training presented by Relias.
MHD Education and Training has added a new resource to explain Care Management in Managed Care. Care Management focuses on improved health outcomes and the overarching member experience.
For more information on Third Party Liability (TPL); what TPL is, the purpose of TPL, how to report TPL and more, please review Third Party Liability Provider Information for a quick one page fact sheet.
It's not just a cigarette problem anymore. It is an addiction epidemic. There was a time when "smoking" only brought cigarette commercials to mind. Nowadays, vaping, nicotine, and tobacco products are everywhere. And it's not just adults who are affected by the growing number of these products-school-aged children and teenagers are vaping, smoking, and exploring all kinds of new harmful and addictive products.
The MO HealthNet Division’s Radiology Benefits Manager, HealthHelp, will be conducting a Provider Satisfaction Survey beginning November 29, 2022. The survey is for providers and facilities utilizing HealthHelp services.
