The MO HealthNet Division covers the cost of hospital services including inpatient and outpatient services for MO HealthNet eligible participants. An acute inpatient service is one in which the hospital expects to provide service to the member in the hospital for a 24-hour period or longer. Outpatient hospital services are those services provided to a member not admitted by the hospital as an inpatient but is registered on the hospital records as an outpatient and receives services from the hospital.
Resources
- Benefit Tables
- Claims & Billing
- CyberAccess
- FAQs
- Fee Schedules
- Inpatient Stay Exemption by Diagnosis Code Table
- Laboratory Program
- Outpatient Hospital Radiology Fee Schedules 2018 | 2019 | 2020 | 2021
- Outpatient Hospital Laboratory Fee Schedule 2019-2021
- Outpatient Hospital Surgical Procedural Fee Schedule 2019
- Outpatient Hospital Simplified Fee Schedules 2021 | 2022
- Pre-Certification Criteria
- Radiology Program
- Provider Information
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 |
|---|---|---|---|---|
| 03/25/2025 | 47-37 | Certification Requirement for Complex Rehabilitation Technology Providers in the Durable Medical Equipment Program | Bulletins | All MO HealthNet Providers |
| 03/25/2025 | Reporting Incurred Charges for Spend Down Made Easier for Providers and Participants | Hot Tips | All MO HealthNet Providers | |
| 03/14/2025 | Preferred Diabetic Supplies | Hot Tips | All MO HealthNet Providers | |
| 03/06/2025 | Cinvanti® will be non-preferred effective April 3, 2025 | Hot Tips | All MO HealthNet Providers | |
| 02/28/2025 | 2025 Optimizing Benefits for Maternal and Infant Health Meetings | Hot Tips | All MO HealthNet Providers | |
| 02/27/2025 | Drug Prior Authorization Request | Hot Tips | All MO HealthNet Providers | |
| 02/27/2025 | Provider Training Schedule Posted, April - June 2025 | Hot Tips | All MO HealthNet Providers | |
| 02/27/2025 | Heart Disease and Pregnancy | Hot Tips | All MO HealthNet Providers | |
| 02/24/2025 | Corrected PDMP Survey | Hot Tips | Hospital | |
| 02/21/2025 | MO HealthNet Pharmacy and Medical Pre-Certification Helpdesk IVR | Hot Tips | All MO HealthNet Providers | |
| 02/13/2025 | 47-33 | 2025 HCPCs | Bulletins | All MO HealthNet Providers |
| 02/04/2025 | MO HealthNet Participants with Third Party Liability Coverage | Hot Tips | All MO HealthNet Providers | |
| 01/06/2025 | 47-40 | Drugs Carved Out of 340B Reimbursement | Bulletins | All MO HealthNet Providers |
| 01/06/2025 | All MO HealthNet Providers Responsible for Updates | Hot Tips | All MO HealthNet Providers | |
| 01/06/2025 | Syphilis: A Provider’s Guide to Treatment and Prevention | Hot Tips | All MO HealthNet Providers |