COMRU PASRR LOC Training

COMRU PASRR LOC Training

The Preadmission Screening and Resident Review (PASRR) is a federally mandated screening process that requires all applications (regardless of payment source) to a Medicaid Certified nursing facility bed be given a preliminary assessment to determine whether they might have a serious mental illness (SMI), an intellectual disability/developmental disability (IDD/DD), a related condition, or any combination thereof. This is called a Level I Screening.

Hospice Billing and Policy Workshop, March 24, 2025

Hospice Billing and Policy Workshop, March 24, 2025

MO HealthNet Education and Training will be hosting an in-person Hospice Billing and Policy Workshop on March 24, 2025, in Jefferson City.

Hospice providers will have the opportunity to learn from and speak to all three Managed Care Plans (United HealthCare, Home State Health, and Healthy Blue), Missouri Medicaid Audit and Compliance (MMAC), and the Mo HealthNet Division (MHD) regarding billing practices, resources, audits, and more.

Corrected PDMP Survey

Corrected Survey on the SUPPORT Act's Prescription Drug Monitoring Program Mandate

We want to inform you that we encountered technical issues with the survey regarding the SUPPORT Act's PDMP mandate. We apologize for any inconvenience this may have caused. If you attempted to take the survey previously, please try again. If you have not participated yet, we encourage you to take the survey now. Your feedback is essential in helping us assess the implementation of this mandate. The survey will take approximately 5 minutes, and your responses will remain confidential.

PACE Benefit Table

Program of All-Inclusive Care for the Elderly (PACE) Benefit Table

The Program of All-Inclusive Care for the Elderly (PACE) is administered by MO HealthNet and Medicare to provide comprehensive health care, social, recreational, and wellness services to its participants. One of the main goals of PACE is to allow older adults to live safely in their homes instead of nursing facilities. As of May 3, 2024, PACE organizations are active in St. Louis and Kansas City, with a new PACE organization coming to the Springfield area later this year.

Nursing Home Room and Board

With the exception of certain hospice stays, nursing home room and board is covered under fee-for-service (FFS) regardless of whether the resident is in a Managed Care health plan. Participants who are enrolled in a Managed Care health plan, and who are seeking admission into a nursing home, will remain in a their Managed Care health plan until a nursing home level of care is determined, or for 60 calendar days, whichever comes first.

Nursing Facilities and Patient Surplus

Patient surplus or “patient liability” is the participant’s income less certain deductions; i.e., personal allowance, medical insurance and any allotments to a spouse and/or eligible dependents and is computed by an FSD caseworker. It is a federal requirement that the MO HealthNet payment to a nursing home be reduced by the patient surplus. MO HealthNet payment to a nursing home is not collected by the nursing facility the first month a participant is admitted if admission is after the first day of the month.

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