Provider Manuals
On October 20, 2014, the MO HealthNet Division (MHD) Provider Manuals were consolidated to include the General Sections with the Program Sections into a single document for each specific provider manual.
Non-Emergency Medical Transportation
MO HealthNet participants, who are eligible to receive Non-Emergency Medical Transportation (NEMT), should request for transportation at least five (5) calendar days in advance by calling (866) 269-5927. Requests may be made 24 hour a day, seven (7) days a week.
Give Us Your Suggestions!
The MO HealthNet Division (MHD) provides weekly Hot Tips to providers to assist them in receiving timely reimbursement. Please share these weekly hot tips with billing staff.
If there is a topic that you would like to see covered, please send them by e-mail to: MHD.provtrain@dss.mo.gov.
Participant Eligibility Training Tool
Eligibility verification is essential to processing a claim for reimbursement. Providers shall check participant eligibility on the date of service (DOS) to verify the participant’s eligibility status and covered services.
Non-Emergency Medical Transportation
The Non-Emergency Medical Transportation (NEMT) program may be utilized by participants to receive transportation to their MO HealthNet covered medical appointment. The NEMT broker is LogistiCare Solutions, LLC.
An enrolled MO HealthNet provider may call 1-866-269-5927 to arrange transportation, Monday through Friday 8:00 AM to 5:00 PM at least 5 calendar days before an appointment to assist a patient. Urgent appointments and hospital discharges may be called in 24 hours a day, 7 days a week.
Resources to Verify MO HealthNet Eligibility
Providers have several resources that make checking participant eligibility convenient. The following resources are located at the Provider Participant Page:
Non-Covered vs. Non-Allowable Services
Providers commonly are confused between “non-covered” and “non-allowable” services. The various provider manuals contain sections, which describe these services.
WebEx Meetings Conducted by Provider Education and Training Unit
Provider Education Unit would like to advise provider’s that Webinar’s are now scheduled and conducted with WebEx Meeting. This new feature will assure that providers are still given full directions and allotted scheduled time for questions.
Scheduled Webinars for Listed Claim Types
MO HealthNet Division (MHD) Provider Education Unit provides Webinar based trainings to enrolled providers. Please access the Webinar Training schedule to attend any training that pertains to the provider’s specific training needs.
Non-QMB, Medicare Part C Plan
MO HealthNet Division (MHD) will process claims in accordance with the established MHD coordination of benefits policy for Non-Qualified Medicare Beneficiary (Non-QMB) participants enrolled in a Medicare Advantage/Part C plan. Please refer to the policy in the MHD provider manuals, General Section 5 - Third Party Liability.