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The MO HealthNet Division (MHD) is aware of the sustained increased positivity of RSV virology in the State of Missouri. MHD will consider RSV prophylaxis prior authorization requests during July, August & September. For participants who meet the clinical edit requirements, approval will include up to three doses.
- For participants who were approved in July the doses were approved for July and August. These participants are eligible for an additional September dose upon prescriber request.
- For participants who were approved in August the doses will be for August and September.
- For participants who request doses in September the doses will be for September and October.
MHD will evaluate the need for additional doses on a month-to-month basis, dependent on RSV virology. The doses approved during this summer season will not count toward the 5 doses during the regular 2021-2022 RSV season. Providers with questions may call MO HealthNet at 800-392-8030.