Some MO HealthNet participants are restricted or locked-in to authorized MO HealthNet providers of certain services to help the participant use the MO HealthNet Program properly. When the participant has an administrative lock-in provider, the provider’s name and telephone number are identified on eMOMED when verifying eligibility.
An attending physician, hospital, or participant who disagrees with Conduent’s (MO HealthNet Division’s review authority) initial denial determination for an inpatient certification is entitled to reconsideration by Conduent. The reconsideration may be requested before or after the participant is discharged from the hospital.
The Family Support Division (FSD), Department of Health and Senior Services Central Office Medical Review Unit (DHSS COMRU), and the MO HealthNet Division (MHD) have collaborated to create a new resource for nursing facility providers. We are excited to announce, Nursing Home Reimbursement: Beginning to End.
