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
Waiver Documents
- Missouri Serious Mental Illness - Section 1115 Waiver
- Missouri SMI 1115 Waiver Narrative
- Missouri Substance Use Disorder - Section 1115 Waiver
- Missouri SUD 1115 Waiver Narrative
- MO Substance Use Disorder and Serious Mental Illness 1115(a) Demonstration Waiver Demonstration Year one (1) Monitoring Report
- Serious Mental Illness/Serious Emotional Disturbance Planned Metrics
- Substance Use Disorder Demonstration Planned Metrics
Provider Manual
Education & Training
Forms
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 |
|---|---|---|---|---|
| 07/06/2023 | Provider Forms | Hot Tips | All MO HealthNet Providers | |
| 06/22/2023 | Youth Suicide Prevention Provider Resources | Hot Tips | All MO HealthNet Providers | |
| 06/05/2023 | Missouri Perinatal Quality Collaborative Provider Training Opportunities | Hot Tips | All MO HealthNet Providers | |
| 06/05/2023 | It's almost time for HealthHelp's Provider Satisfaction Survey | Hot Tips | All MO HealthNet Providers | |
| 05/16/2023 | Telemedicine after the COVID-19 Public Health Emergency (PHE) | Hot Tips | All MO HealthNet Providers | |
| 05/15/2023 | COVID-19: Registered Behavior Technician Extension | Hot Tips | All MO HealthNet Providers | |
| 05/15/2023 | New Resources for Asthma Awareness Month and Beyond | Hot Tips | All MO HealthNet Providers | |
| 05/04/2023 | Comprehensive Community Support Billing Tips - Residential Treatment and Treatment Foster Care | Hot Tips | All MO HealthNet Providers | |
| 05/04/2023 | Evidence-Based Nicotine Treatment Strategies | Hot Tips | All MO HealthNet Providers | |
| 05/01/2023 | Third Party Liability Contact Information | Hot Tips | All MO HealthNet Providers | |
| 04/28/2023 | Electronic Visit Verification E-Learning Course | Hot Tips | All MO HealthNet Providers | |
| 03/27/2023 | COVID-19: DME: Prescription Signature | Hot Tips | All MO HealthNet Providers | |
| 03/27/2023 | COVID-19: Testing and Specimen Collection | Hot Tips | All MO HealthNet Providers | |
| 03/27/2023 | COVID-19 Vaccines | Hot Tips | All MO HealthNet Providers | |
| 03/27/2023 | COVID-19: 1135 Waiver for Pre-Admission Screening and Resident Review (PASRR) | Hot Tips | All MO HealthNet Providers |