Welcome to the MO HealthNet Pharmacy Program. The MO HealthNet Pharmacy Program oversees reimbursement for outpatient, fee-for-service prescription drugs, over-the-counter products and devices. The program is responsible for pharmacy program and policy development and uses best practices and evidence-based medicine to drive clinical policy development. Pharmacy Administration is responsible for the pharmacy program and policy development for MHD. Contact Pharmacy Administration at MHD.PharmacyAdmin@dss.mo.gov or call (573) 751-6963.
Education & Training
- Alcohol Use Disorder Treatment Options
- Albuterol Limit for Prescribers
- MO HealthNet Education & Training
- Opioid Policy Update
- Opioid Reversal Agents
- Pharmacy Billing Medical Claims
- Pharmacy Prior Authorization Process
- Pharmacy Provider Resource Guide
- Proper Drug Billing Course
Forms
- Provider Forms
- ADHD Medication Prior Authorization Children Less than 6 Years Old
- Antipsychotic Children less than 9 years old Prior Authorization
- Benzodiazepine Prior Authorization
- Compound Prior Authorization
- Continuous Glucose Monitoring Device Tubeless Insulin Pump Prior Authorization
- Diabetic Supplies Prior Authorization
- Drug Prior Authorization
- GLP-1 Receptor Agonists & Combination Agents Prior Authorization
- Growth Hormone Somatropin Agents Prior Authorization
- Hepatitis C Treatment Prior Authorization
- Opioid Prior Authorization
- Psychotropic Medication Polypharmacy Prior Authorization
- Request for Brand Name Drug Prior Authorization
- Synagis Prior Authorization
- Targeted Immune Modulators Prior Authorization Misc Allergy and Asthma-related Monoclonal Antibodies
Provider Manual
Resources
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 |
|---|---|---|---|---|
| 09/22/2014 | Electronic Claim Submission | Hot Tips | All MO HealthNet Providers | |
| 09/15/2014 | Third Party Resources | Hot Tips | All MO HealthNet Providers | |
| 09/02/2014 | MO HealthNet Spenddown Provider Form | Hot Tips | All MO HealthNet Providers | |
| 07/29/2014 | Bundled Value Code - Medicare UB-04 Part A Institutional Claims | Hot Tips | All MO HealthNet Providers | |
| 07/14/2014 | Provider Participant Page | Hot Tips | All MO HealthNet Providers | |
| 07/08/2014 | 37-03 | Non-Payment of State Children's Health Insurance Premium | Bulletins | All MO HealthNet Providers |
| 07/07/2014 | Scheduled Webinars for Listed Claims Types | Hot Tips | All MO HealthNet Providers | |
| 06/30/2014 | Claims Processing and Payment Schedule for Fiscal Year 2015 | Hot Tips | All MO HealthNet Providers | |
| 06/23/2014 | Contacting the Provider Education Unit | Hot Tips | All MO HealthNet Providers | |
| 06/19/2014 | 36-33 | ICD-10 Delay in Implementation Date | Bulletins | All MO HealthNet Providers |
| 06/09/2014 | Reason Some Crossover Claims do not Process Automatically | Hot Tips | All MO HealthNet Providers | |
| 06/02/2014 | Benefit Matrix | Hot Tips | All MO HealthNet Providers | |
| 05/05/2014 | Participant Administrative Lock-In | Hot Tips | All MO HealthNet Providers | |
| 04/17/2014 | 36-24 | MO HealthNet Primary Care Health Home Initiative | Bulletins | All MO HealthNet Providers |
| 04/14/2014 | Delivery and Placement Date Versus Date of Service | Hot Tips | All MO HealthNet Providers |