Provider Information header

Welcome MO HealthNet Providers

 

  •  
  • Pharmacy
  • PDL & clinical edit information
  •  
  • Forms
  • Forms for MO HealthNet providers

 

 

Contact Information

Education & Training

Instructs providers on navigating provider resources, proper billing methods and procedures for claim filing. Contact at MHD.Education@dss.mo.gov or call 573-751-6683.

Managed Care Provider Communications

If providers are unable to resolve a Managed Care issue directly with a health plan, contact a Managed Care Liaison by completing a Managed Care Provider Request for Information.

Provider Communications

Call 573-751-2896 or log in to eMOMED for help with eligibility, claim filing, resolution and disposition, and participant verification. 

Managed Care Health Plans

Contact the Managed Care health plans directly to contract with them: 

 
 

MO HealthNet Participant Eligibility

MO HealthNet assigns individuals to either the Fee-For-Service program or a Managed Care health plan depending on eligibility criteria.

Fee-For-Service

  • Senior (age 65 and older)
  • Person with a disability
  • Blind or visually impaired adult
  • Woman (under age 65) with breast or cervical cancer

Managed Care

  • Pregnant woman including her newborn
  • Child (birth to age 18)
  • Parent with children in the home
  • Adult (age 19-64) without a disability