New Provider Obstetric Resource Workbooks from the MO PQC
New Provider Obstetric Resource Workbooks from the MO Perinatal Quality Collaborative
Improving the health outcomes of maternal and infant populations is a critical priority in Missouri. The Missouri Perinatal Quality Collaborative (PQC) is working to close gaps to achieve equitable and improved health outcomes.
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.
Outpatient Observation Billing
Outpatient hospital services are those services provided to a person who has not been admitted by the hospital as an inpatient but is registered on the hospital records as an outpatient and receives services from the hospital.
Hospital Dental Billing
Hospital Billing for Dental Procedures Performed in the Outpatient Setting
The MO HealthNet Division (MHD) reimburses MO HealthNet-enrolled hospitals for dental procedures performed in their facilities.
Group Prenatal Care FAQs
Group Prenatal Care FAQs
The MO HealthNet Division (MHD) implemented coverage for Group Prenatal Care effective for dates of service on and after December 1, 2023. For more information, review the Group Prenatal Care Bulletin.
Vaccines for CHIP Participants
Vaccines for CHIP Participants
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.
Prescription Drug Monitoring Program (PDMP) Survey
Survey on the SUPPORT Act's Prescription Drug Monitoring Program Mandate
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.