Reminder of Prior Authorization Process for Residential Treatment and Treatment Foster Care

Reminder of Prior Authorization Process for Residential Treatment and Treatment Foster Care

The MO HealthNet Division would like to remind providers of the process for obtaining prior authorization for Residential Treatment and Treatment Foster Care (TFC), as outlined in the Provider Bulletin issued on September 21, 2

American Society of Addiction Medicine (ASAM) 4th Edition, Level of Care 4

American Society of Addiction Medicine (ASAM) 4th Edition, Level of Care 4

Effective December 1, 2025, psychiatric hospitals that meet the definition of an Institution for Mental Disease (IMD), subject to the terms of the 1115 SMI/SED/SUD waiver, must align with ASAM Criteria, 4th Edition, Level of Care 4, Medically Managed Intensive Inpatient Services.

Updated Precertification Request Forms for Behavioral Health Services and Applied Behavior Analysis

Updated Precertification Request Forms for Behavioral Health Services and Applied Behavior Analysis

MHD has updated the forms required for requesting precertification for Behavioral Health Services and Applied Behavior Analysis. The forms now contain an e-signature function. Providers can either print and wet-sign or insert their e-signature before faxing to the Behavioral Health Services Help Desk at (573) 635-6516.