As part of ongoing efforts to improve accessibility and streamline processes, the MO HealthNet Health Insurance Premium Payment Program (HIPP) will implement a new online application option effective April 27, 2026.
Starting June 1, 2026, MO HealthNet will no longer offer manual overrides for pharmacy claims rejected due to missing or incorrectly formatted ICD-10 diagnosis codes under the Diagnosis Code Required Policy Edit, as found in the Pharmacy Clinical Edits and Preferred Drug Lists.
The MO HealthNet Division (MHD) implemented coverage for SMBP monitoring effective for dates of service on or after February 1, 2025. These services are covered when prescribed by a physician or a health care professional with prescribing authority. Prescriptions for SMBP-validated monitoring devices must be made to participating Durable Medical Equipment (DME) providers and must include a request for an appropriately sized cuff.
SMBP monitoring device limitations include:
Starting June 1, 2026, MO HealthNet will no longer offer manual overrides for pharmacy claims rejected due to missing or incorrectly formatted ICD-10 diagnosis codes under the Diagnosis Code Required Policy Edit, as found in the Pharmacy Clinical Edits and Preferred Drug Lists.
Dealing with a scheduled ride that doesn't show up can be stressful for both your staff and your patients. To streamline support, the MO HealthNet Division (MHD) has launched a dedicated Stranded Patient Line to ensure no MO HealthNet participant who has a confirmed ride under the Non-Emergency Medical Transportation (NEMT) Program is left waiting at your facility without a solution.
As part of our commitment to enhance security, we are implementing Multi-Factor Authentication (MFA) for eMOMED. Starting 5/20/2026, all users will be prompted to select and register an MFA method. Options will include SMS, Email and Authenticator App.
Although MFA verification will not be required or enforced until August, and access to eMOMED will continue as usual until then, we encourage all users to complete the selection process early to ensure a smooth transition.
The MO HealthNet Division (MHD) Education and Training team has updated the Provider Training Schedule, accessible through the Education and Training page. These trainings cover navigating provider resources, proper billing methods, procedures for claim filing via eMOMED, and other requested topics.
Providers who admit or render services to a MO HealthNet Managed Care health plan participant who is initially identified as a John or Jane Doe, or who does not disclose their MO HealthNet coverage at the time of service, should contact the respective health plan as soon as the member’s identity and insurance information becomes known.
When requesting authorization in these situations, please include the following in your submission:
Good news! The MO HealthNet Division (MHD) Non-Emergency Medical Transportation (NEMT) Program provides eligible MO HealthNet participants with free rides to their scheduled appointments. If a friend can drive them, the program can even reimburse mileage.
