Drug Prior Authorization Request
Drug Prior Authorization Request
It is crucial to use the latest version of the drug prior authorization form to ensure that your requests are processed as quickly and efficiently as possible. Providers can access all drug prior authorization forms here.
Provider Training Schedule Posted, April - June 2025
Provider Training Schedule Posted, April - June 2025
MHD Education and Training has posted the 2nd Quarter Provider Training Schedule. These program specific live webinars can also be found on the Provider Training Calendar located at Education and Training.
Heart Disease and Pregnancy
Heart Disease and Pregnancy
The Healthy Moms Healthy Babies website offers information for moms and providers. A new addition to the site is the American Heart Association (AHA) information for moms to review during their pregnancy.
MO HealthNet Pharmacy and Medical Pre-Certification Helpdesk IVR
MO HealthNet Pharmacy and Medical Pre-Certification Helpdesk IVR
Instantly Check PA Fax Status on the MHD Pharmacy and Medical Pre-Certification Helpdesk
MO HealthNet has introduced a convenient self-service feature on the MHD Pharmacy and Medical Pre-Certification Helpdesk IVR. Pharmacies and providers can now quickly check the status of their drug prior authorization (PA) fax requests using the National Provider Identifier (NPI), Participant’s Designated Client Number (DCN), and Fax Date.
MO HealthNet Participants with Third Party Liability Coverage
MO HealthNet Participants with Third Party Liability Coverage
Before requesting prior authorization (PA) from the MO HealthNet Division (MHD) for any medication, please verify whether the participant has any other third-party liability (TPL). Providers must utilize all available third-party benefits, including exploring therapeutic alternatives, pursuing prior authorization through the third-party payer, and utilizing a preferred pharmacy before MHD will consider reviewing PAs for participants with TPL.
All MO HealthNet Providers Responsible for Updates
All MO HealthNet Providers Responsible for Updates
January 6, 2025
Syphilis: A Provider’s Guide to Treatment and Prevention
Syphilis: A Provider’s Guide to Treatment and Prevention
January 6, 2025
Cases of syphilis have increased in Missouri over 600% since 2013. Often, it is diagnosed late. Black Missourians are disproportionately affected with an infection rate four times that of White Missourians.