Behavioral Health Precertification Refresher:

Behavioral Health providers may deliver 14 hours of psychotherapy services to a participant, each rolling year, in any combination of individual, family or group therapy (90832, 90834, 90837, 90846, 90847, or 90853).

If you provided individual, family, or group therapy to the participant in the last rolling year a precertification is required to continue services beyond the initial 14 hours.

All covered behavioral health services for participants under the age of 3 require precertification, with the exception of psychiatric diagnostic evaluation (90791, 90792).

Biopsychosocial Treatment of Obesity Policy Clarification

MO HealthNet coverage for biopsychosocial treatment of obesity (see Provider Bulletin Volume 44, Number 12 https://dss.mo.gov/mhd/providers/pdf/bulletin44-12.pdf) is an integrated approach to care that includes both medical nutrition therapy and behavioral health counseling to improve weight status. Prior authorization for either treatment component in isolation will not be granted.

Complementary Health and Alternative Therapies for Chronic Pain Management: Pre-Certification Process and Billing

Complementary Health and Alternative Therapies for Chronic Pain Management: Pre-Certification Process and Billing

On April 1, 2019, the MO HealthNet Division (MHD) implemented statewide Complementary Health and Alternative Therapy Services for Chronic Pain Management.

The Complementary Health and Alternative Therapy Services program includes a combination of newly covered services: physical therapy, chiropractic therapy, and acupuncture, along with current coverage of cognitive-behavioral therapy (CBT) and non-opioid medication therapy.

Find Treatment for Substance Abuse and Mental Illness

New Behavioral Health Treatment Services Locator:

The Substance Abuse and Mental Health Services Administration (SAMHSA) collects information on thousands of state-licensed providers who specialize in treating substance use disorders, addiction, and mental illness.

This tool includes many resources beyond MO HealthNet providers. This site includes information on treatment options, payment options, and additional resources for understanding addiction and mental health.

Updated MO HealthNet Behavioral Health/ABA Provider Bulletin

The MO HealthNet Division has added clarifying information to Provider Bulletin Vol. 42, No. 04, Rate Increase for Behavioral Health Services. 

In Attachment A, Program Type indicates the fee schedule category for each procedure code. In addition, the original bulletin omitted procedure codes for applied behavior analysis (ABA) in error, and the updated bulletin includes ABA procedure codes.

Subscribe to Behavioral Health Services