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Approval to implement the Missouri Substance Use Disorder and Serious Mental Illness 1115(a) Demonstration Waiver was received on December 6, 2023. Through this demonstration, the state will expand access to a full continuum of services across American Society of Addiction (ASAM) levels of care statewide for opioid use disorder (OUD) and other substance use disorders (SUD), as well as support access to a full continuum of mental health treatment services, by allowing Medicaid coverage and reimbursement for inpatient psychiatric services provided to eligible adults with SUD ages 12-64 within an IMD. Approval of the SUD program will allow the state to add Medicaid reimbursement for residential SUD services for individuals who meet medical necessity criteria, including residential SUD services in facilities that qualify as an institution for mental disease (IMD). In addition, approval of the serious mental illness (SMI) program will allow the state to add reimbursement for acute inpatient stays in an IMD.

 Public Notice

2024

04.29.2024 - SUD & SMI 1115 Demonstration Waiver Post-Award Forum Public Notice

2022

06.10.2022 - Public Notice regarding the 1115 waiver demonstration application seeking authority to reimburse for medically necessary residential substance use disorder (SUD) services furnished in facilities that qualify as an institution for mental disease (IMD)
06.10.2022 - Public Notice regarding the 1115 waiver demonstration application seeking authority to reimburse for medically necessary residential substance use disorder (SUD) services furnished in facilities that qualify as an institution for mental disease (IMD)
06.22.2022 - Public Notice regarding reimbursement for acute inpatient stays institutions for mental disease (IMD) for Medicaid enrollees ages 21-64 diagnosed with a serious mental illness (SMI).

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
10/15/2024 Notification of Pregnancy and Risk Screening Webinars Hot Tips All MO HealthNet Providers
10/07/2024 Free Virtual Training on Anxiety Disorders During Pregnancy and Postpartum Hot Tips All MO HealthNet Providers
10/01/2024 MO HealthNet Providers: Call Us For FREE! Hot Tips All MO HealthNet Providers
10/01/2024 Tirosint leaving MDRP 10.01.24 Hot Tips All MO HealthNet Providers
10/01/2024 2024-3 Provider Newsletter 4th Quarter 2024 Newsletters All MO HealthNet Providers
09/27/2024 Notification of Pregnancy and Risk Assessment Webinars Hot Tips All MO HealthNet Providers
09/26/2024 47-25 Notification of Pregnancy and Risk Screening Bulletins All MO HealthNet Providers
09/26/2024 MissouriBUYS Bid Opportunity Hot Tips All MO HealthNet Providers
09/24/2024 47-24 At-Home COVID-19 Test Coverage Bulletins All MO HealthNet Providers
09/09/2024 New Healthy Moms Healthy Babies Resources for Participants and Providers Hot Tips All MO HealthNet Providers
09/06/2024 MO Maternal Health Action Network Opportunities Hot Tips All MO HealthNet Providers
08/16/2024 Free Teledentistry Training Hot Tips All MO HealthNet Providers
08/16/2024 Free Interprofessional Telehealth Training Program Hot Tips All MO HealthNet Providers
08/15/2024 MO HealthNet Provider Overview Guide Hot Tips All MO HealthNet Providers
08/12/2024 MMAC Provider Communications Portal Hot Tips All MO HealthNet Providers