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 2019-2021
- 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 |
|---|---|---|---|---|
| 11/22/2023 | Reporting a Pregnancy to MHD Made Easy! | Hot Tips | Hospital | |
| 11/20/2023 | Payment Error Rate Measurement (PERM) Audit | Hot Tips | All MO HealthNet Providers | |
| 11/15/2023 | It's almost time for HealthHelp's Provider Satisfaction Survey. | Hot Tips | All MO HealthNet Providers | |
| 11/14/2023 | 2023 Great American SmokeOut | Hot Tips | All MO HealthNet Providers | |
| 10/13/2023 | Optimizing MO's Managed Care Plan Benefits for Maternal and Infant Health November 13, 2023 | Hot Tips | All MO HealthNet Providers | |
| 10/10/2023 | 46-20 | ICD-10 Annual Updates | Bulletins | All MO HealthNet Providers |
| 09/19/2023 | Upcoming Relias Webinars | Hot Tips | All MO HealthNet Providers | |
| 09/07/2023 | Ground Emergency Medical Transportation (GEMT) | Hot Tips | Hospital | |
| 09/01/2023 | New Provider Manual for All MO HealthNet Providers | Hot Tips | All MO HealthNet Providers | |
| 08/25/2023 | 46-13 | Provider Inquiries | Bulletins | All MO HealthNet Providers |
| 08/18/2023 | Maternal and Infant Health Engagement Survey for MO HealthNet Providers | Hot Tips | All MO HealthNet Providers | |
| 07/21/2023 | Preventive health care services are covered for adults and children who have MO HealthNet benefits | Hot Tips | All MO HealthNet Providers | |
| 07/21/2023 | 46-06 | Covid-19 Vaccine Administration Procedures | Bulletins | All MO HealthNet Providers |
| 07/07/2023 | Automatic Refill FAQs | Hot Tips | All MO HealthNet Providers | |
| 07/06/2023 | Provider Forms | Hot Tips | All MO HealthNet Providers |