Participants enrolled in the Children’s Health Insurance Program (CHIP) are not eligible for vaccines under the Vaccines for Children (VFC) Program. In order for providers to accurately report and document vaccines for CHIP participants, they must take the following steps.
MO HealthNet is conducting a survey regarding the implementation of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act's prescription drug monitoring program mandate.
The MO HealthNet Division (MHD) requires all MO HealthNet enrolled hospitals in Missouri and bordering states to receive an admission certification. Retrospective (post-discharge) certification requests are only accepted when the participant has retroactive eligibility, or the hospital provider has a retroactive enrollment date. All other retrospective certifications will only be accepted on a case-by-case basis.
The MO HealthNet Division (MHD) and the St. Louis Integrated Health Network held a jointly sponsored event to launch Group Prenatal Care on January 12, 2024. As a follow up to this exciting launch, MHD will be hosting a webinar on February 1, 2024. The webinar will include a video of the launch event and its dynamic speakers, as well as an interactive discussion regarding how to bill for Group Prenatal Care and other questions providers may have on this benefit.
Effective for dates of service on and after January 15, 2024, MO HealthNet will no longer allow an exception to the Take Home Drugs and Supplies policy for hospital and clinic providers to bill for an inhaler if the participant is diagnosed with COVID or the participant has been exposed to COVID-19.
Please join the MO HealthNet Division and the St. Louis Integrated Health Network for a jointly sponsored event to launch Group Prenatal Care on January 12, 2024. Refer to the invitation for all of the information, or register here.
As you know, MO HealthNet participants who report a pregnancy to the MO HealthNet Division (MHD) are eligible for a wide variety of additional benefits. Review MO HealthNet Pregnancy Services for more information on these benefits.
Entities enrolled as MO HealthNet Ambulance program providers, who are owned or operated by the state or a political subdivision, and provide Ground Emergency Medical Transportation services to MO HealthNet participants may qualify for the Ground Emergency Medical Transportation (GEMT) program. For more information please visit the Ground Emergency Medical Transportation (GEMT) website to see if you qualify.
MO HealthNet (MHD) and Missouri Medicaid Audit and Compliance (MMAC) are contracted with Health Management Systems (HMS) to conduct post payment reviews of claims for Hospital and Long Term Care facility Credit Balance Audits and the Commercial Insurance Disallowance Audit Cycles.
