MO HealthNet does not require a prior authorization for opioid prescriptions less than 50 MME per day. Please note, for patients who have not filled an opioid through MO HealthNet in the past 90 days, the pharmacy will still need to run a 7-day fill prior to a full 30-day prescription, regardless of the MME.
MO HealthNet wants to ensure that participants who are pregnant or hoping to conceive get the nutrition they need before and during pregnancy. Ideally, mothers-to-be would take prenatal vitamins before conception as brain development starts during the first month of pregnancy, often before mothers even know they are pregnant. During pregnancy, mothers also need more folic acid and iron than usual. A healthy diet is the best way to get the vitamins and minerals mothers need for a healthy pregnancy and the baby’s development.
Case management services are available for MO HealthNet eligible pregnant women who are “at risk” of poor pregnancy outcomes and are intended to reduce infant mortality and low birth weight by encouraging adequate prenatal care and adherence to the recommendations of the prenatal caregiver.
Maternal depression is a serious and widespread condition that not only affects the mother, but may have a lasting, detrimental impact on the child’s health. The MO HealthNet Division (MHD) covers maternal depression screening procedure code 96161, which may be billed under the child’s Departmental Client Number (DCN), for administering a maternal depression screening tool during a well-child visit.
Coverage through the MO HealthNet Program is available for a minimum of 48 hours of inpatient care following a vaginal delivery and a minimum of 96 hours of inpatient care following a cesarean section for a mother and newly born child. A shorter length of hospital stay for services related to maternity and newborn care may be approved if the shorter stay meets with the approval of the attending physician after consulting with the mother. In which case, post-discharge care is required.
The US Department of Health and Human Services (DHHS) Health Resources and Services Administration (HRSA) is celebrating the first anniversary of the National Maternal Mental Health Hotline. Since its launch on Mother’s Day 2022, professional counselors have assisted almost 12,000 pregnant and postpartum individuals.
MO HealthNet Education and Training is hosting a webinar to discuss case management for pregnant women on Medicaid. The webinar will review resources, policy and billing information for providers. Please join us on Thursday, June 22, 2023 at 10:00 am. Register today!
The Missouri Perinatal Quality Collaborative (PQC), funded by the Missouri Department of Health and Senior Services and the Missouri Hospital Association, and in collaboration with The Uplift Connection powered by Missouri Foundation for Health, needs your help in collecting information around perinatal Substance Use Disorder (SUD) resources across the State of Missouri. In this effort, PQC has collaborated on a survey collection tool for those providing perinatal SUD services.
