Date

If a child who is in the legal custody of the Department of Social Services Children’s Division (CD) is hospitalized but is no longer in need of medical care at the hospital, and that child is pending a placement, CD will reimburse the provider at the same rate the hospital would receive per day for an inpatient admission.

When this occurs, providers should send the following to CD.AskRehab@dss.mo.gov:

  • Invoice (not a CMS-1500) for the non-medically necessary/non-covered days that clearly itemizes the daily room and board rate
  • Denial from Show Me Healthy Kids/Home State Health or the MO HealthNet Division (MHD) or MHD’s vendor Conduent, or similar documentation, with a clear indication of when the MO HealthNet coverage ended

For additional information, contact CD.AskRehab@dss.mo.gov with questions.