The MO HealthNet Division (MHD) fee-for-service (FFS) program will reimburse enrolled FFS providers for adult Managed Care participants for dates of service January 1, 2016 through June 30, 2016.
MO HealthNet Managed Care Plans will begin to reimburse adult dental services for eligible participants effective July 1, 2016.
As stated in the Adult Dental Bulletin dated May 6, 2016, the MHD FFS program began paying enrolled providers for certain adult dental services effective for dates of service on and after January 1, 2016. The specific covered services are listed and described in the bulletin.
MHD Managed Care Plans include Home State Health™, Aetna Better Health of MO™, and Missouri Care™. Providers are responsible for checking patient eligibility for each date of service before providing services to MHD participants.
The MHD FFS program will manually process dental claims for Managed Care adult participants for January 1, 2016 through June 30, 2016 dates of service. Providers must submit paper dental claim forms to receive payment specifically for these services to the following address:
MO HealthNet Division
Attn: Clinical Services
PO Box 6500
Jefferson City, MO 65102
Please reference the May 6, 2016 bulletin noted above for detailed requirements and limitations for specific procedure codes. For questions, providers may contact the Provider Communications Unit by calling 573-751-2896.