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 |
|---|---|---|---|---|
| 03/27/2023 | COVID-19: DME: Delivery Slip Signature Requirement | Hot Tips | All MO HealthNet Providers | |
| 03/27/2023 | COVID-19: DME: Prescription Signature | Hot Tips | All MO HealthNet Providers | |
| 03/27/2023 | COVID-19: Testing and Specimen Collection | Hot Tips | All MO HealthNet Providers | |
| 03/27/2023 | COVID-19 Vaccines | Hot Tips | All MO HealthNet Providers | |
| 03/27/2023 | COVID-19: 1135 Waiver for Pre-Admission Screening and Resident Review (PASRR) | Hot Tips | All MO HealthNet Providers | |
| 03/27/2023 | COVID-19: Home Health | Hot Tips | All MO HealthNet Providers | |
| 03/27/2023 | COVID-19: COVID-19 Testing and Specimen Collection Reimbursement | Hot Tips | All MO HealthNet Providers | |
| 03/27/2023 | COVID-19: Registered Behavior Technician | Hot Tips | All MO HealthNet Providers | |
| 03/03/2023 | Bright Futures | Hot Tips | All MO HealthNet Providers | |
| 03/02/2023 | How to File a Claim with MHD as the Tertiary Payer | Hot Tips | All MO HealthNet Providers | |
| 02/28/2023 | Herceptin Billing Policy Change | Hot Tips | Hospital | |
| 02/27/2023 | The 2022 - 2023 Respiratory Syncytial Virus (RSV) season is winding down | Hot Tips | All MO HealthNet Providers | |
| 02/27/2023 | Opioids and CGMs may not need a PA | Hot Tips | Hospital | |
| 02/17/2023 | Children's Division Legal Custody Youth and Inpatient Stay When Not Medically Necessary | Hot Tips | Hospital | |
| 02/16/2023 | Participant Annual Review Date | Hot Tips | All MO HealthNet Providers |