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 |
|---|---|---|---|---|
| 02/09/2023 | 45-37 | 2023 Healthcare Common Procedure Coding System (HCPS) | Bulletins | All MO HealthNet Providers |
| 01/26/2023 | Annual Reviews Coming: Partners & Providers: Help Spread the Word! | Hot Tips | All MO HealthNet Providers | |
| 01/23/2023 | 2023 Relias Training Schedule | Hot Tips | All MO HealthNet Providers | |
| 01/10/2023 | Provider Communications Interactive Voice Response (IVR) Update | Hot Tips | All MO HealthNet Providers | |
| 01/05/2023 | 45-35 | Non-emergency Medical Transportation | Bulletins | All MO HealthNet Providers |
| 12/29/2022 | Care Management in Managed Care | Hot Tips | All MO HealthNet Providers | |
| 12/29/2022 | Third Party Liability Information for Providers | Hot Tips | All MO HealthNet Providers | |
| 12/27/2022 | MHD Provider Training Schedule, January – March 2023 | Hot Tips | All MO HealthNet Providers | |
| 12/08/2022 | Vaping, Tobacco and Nicotine Treatment | Hot Tips | All MO HealthNet Providers | |
| 11/30/2022 | 45-31 | HIPPA X12 835 Remittance Advice Transactions | Bulletins | All MO HealthNet Providers |
| 11/22/2022 | MO HealthNet Survey Blast Winter 2022 - HealthHelp | Hot Tips | All MO HealthNet Providers | |
| 11/02/2022 | MO HealthNet Member Forum | Hot Tips | All MO HealthNet Providers | |
| 10/28/2022 | Rate Increase | Hot Tips | All MO HealthNet Providers | |
| 10/14/2022 | Lost or Destroyed Medical Records | Hot Tips | All MO HealthNet Providers | |
| 10/12/2022 | Launch of the MO HealthNet Division Show Me Healthy Kids (SMHK) Webpage | Hot Tips | All MO HealthNet Providers |