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.
Updates to Coverage of Continuous Glucose Monitors (CGMs)
Updates to Coverage of Continuous Glucose Monitors (CGMs):
Effective August 29, 2024, MO HealthNet will expand coverage of Continuous Glucose Monitors (CGMs) to participants currently diagnosed with Gestational Diabetes allowing this vulnerable population to obtain a CGM without a prior authorization. Claims for a CGM will auto-approve if the participant has had a gestational diabetes diagnosis billed to MO HealthNet recently OR if the pharmacy submits the appropriate gestational diabetes diagnosis code with the claim.
Opioid Use ECHOs
Opioid Use Disorders ECHO
Opioid Reversal Agents
Opioid Reversal Agents
In 2021, nearly 1 out of 47 deaths in Missouri were attributed to an opioid-involved overdose. Naloxone is an opioid antagonist indicated for the emergency treatment of known or suspected opioid overdose, as manifested by respiratory and/or central nervous system depression.
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.
Physicians & Clinics Billing and Policy Workshop for MHD Providers
Physicians & Clinics Billing and Policy Workshop for MHD Providers
MO HealthNet Education and Training is hosting an in-person Physicians & Clinics Billing and Policy Workshop in Jefferson City.
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.