Managed Care Providers

The MO HealthNet Managed Care health plans have additional flexibilities in operating their programs, such as determining which services require prior authorization, and details for claims submission. Please be aware that certain services, such as pharmacy, are "carved out" of Managed Care and will be paid through the Fee-For-Service program. Please visit the individual health plan website to view their manuals.

General Manual Sections

The information in the general sections apply to all MO HealthNet Fee-For-Service programs.

Provider Manuals