The MO HealthNet Division covers the cost of hospital services including inpatient and outpatient services for MO HealthNet eligible participants. An acute inpatient service is one in which the hospital expects to provide service to the member in the hospital for a 24-hour period or longer. Outpatient hospital services are those services provided to a member not admitted by the hospital as an inpatient but is registered on the hospital records as an outpatient and receives services from the hospital.
Resources
- Benefit Tables
- Claims & Billing
- CyberAccess
- FAQs
- Fee Schedules
- Inpatient Stay Exemption by Diagnosis Code Table
- Laboratory Program
- Outpatient Hospital Radiology Fee Schedules 2018 | 2019 | 2020 | 2021
- Outpatient Hospital Laboratory Fee Schedule 2021
- Outpatient Hospital Surgical Procedural Fee Schedule 2019
- Outpatient Hospital Simplified Fee Schedules 2021 | 2022
- Pre-Certification Criteria
- Radiology Program
- Provider Information
MO HealthNet News
The table below provides general information and updates that are relevant to this program page, as well as all MO HealthNet providers. To find information for all other MO HealthNet programs, or to search by date, program or keyword, visit the MO HealthNet News page. If you would like to receive updates in your inbox, subscribe to MO HealthNet News!
| Date | Volume Number | Subject | Type | Program |
|---|---|---|---|---|
| 03/08/2024 | Maternal Health Access Project | Hot Tips | All MO HealthNet Providers | |
| 03/01/2024 | 46-46 | Change Healthcare | Bulletins | All MO HealthNet Providers |
| 02/26/2024 | Optimizing Missouri’s Managed Care Plan Benefits for Maternal and Infant Health | Hot Tips | All MO HealthNet Providers | |
| 02/20/2024 | 46-43 | 2024 HCPCs | Bulletins | All MO HealthNet Providers |
| 02/01/2024 | Telemedicine Billing Resource | Hot Tips | All MO HealthNet Providers | |
| 01/30/2024 | Master Plan on Aging – Upcoming Town Halls | Hot Tips | All MO HealthNet Providers | |
| 01/25/2024 | 46-39 | Provider 1099 Forms | Bulletins | All MO HealthNet Providers |
| 01/25/2024 | General Provider Resource | Hot Tips | All MO HealthNet Providers | |
| 01/24/2024 | Prescription Drug Monitoring Program (PDMP) Survey | Hot Tips | Hospital | |
| 01/22/2024 | Retrospective Inpatient Certification Due to Incarceration | Hot Tips | Hospital | |
| 01/18/2024 | Group Prenatal Care Webinar | Hot Tips | Hospital | |
| 01/11/2024 | Inhalers Update | Hot Tips | Hospital | |
| 01/08/2024 | 46-36 | Serious Mental Illness 1115 Demonstration Waiver | Bulletins | Hospital |
| 12/28/2023 | Prior Authorization for Your Patient’s Medications | Hot Tips | All MO HealthNet Providers | |
| 12/20/2023 | New Missouri Tobacco Quitline Services in 2024 | Hot Tips | All MO HealthNet Providers |