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 |
|---|---|---|---|---|
| 10/06/2022 | The Cuff Kit Project Information | Hot Tips | All MO HealthNet Providers | |
| 09/27/2022 | Telemedicine: Here to Stay! | Hot Tips | All MO HealthNet Providers | |
| 09/19/2022 | Reminder for Children's Division Residential and Treatment Foster Care Providers | Hot Tips | All MO HealthNet Providers | |
| 09/15/2022 | 45-24 | HIPPA X12 835 Remittance Advice Transactions | Bulletins | All MO HealthNet Providers |
| 08/31/2022 | New Resources and Training Materials for Providers | Hot Tips | All MO HealthNet Providers | |
| 08/30/2022 | Health Help On-Demand Training Sessions! | Hot Tips | All MO HealthNet Providers | |
| 08/25/2022 | RSV Prophylaxis | Hot Tips | All MO HealthNet Providers | |
| 08/25/2022 | 1915(c) Home and Community-Based Waivers (HCBS) Department of Health and Senior Services (DHSS) Waivers | Hot Tips | All MO HealthNet Providers | |
| 08/19/2022 | 45-20 | Outpatient Billing for Spravato | Bulletins | Hospital |
| 08/17/2022 | 45-19 | National Correct Coding Initiative Medically Unlikely Edits | Bulletins | All MO HealthNet Providers |
| 07/29/2022 | 45-11 | Telemedicine Originating Site Rate Increase | Bulletins | All MO HealthNet Providers |
| 07/18/2022 | Telemedicine (Update) | Hot Tips | All MO HealthNet Providers | |
| 07/14/2022 | Long-Acting Reversible Contraception (LARC) Devices for Dual Eligible Participants | Hot Tips | All MO HealthNet Providers | |
| 07/14/2022 | Immunizations for Dual Eligible Participants (Update) | Hot Tips | All MO HealthNet Providers | |
| 07/08/2022 | Proper Billing for Drugs Billed to MO HealthNet | Hot Tips | All MO HealthNet Providers |