Managed Care Enrollment Inquiries
When requesting review of Managed Care member enrollment due to a discrepancy between the MCO and the MO HealthNet Division, please do not send TPL-4 Insurance Report forms to mhd.costrecovery@dss.mo.gov.
Hot Tip Index
The MO HealthNet Division publishes Hot Tips to supply information to clarify and assist providers in receiving timely reimbursement for services provided and claims disposition.
COVID-19: COVID Testing and Specimen Collection Codes - Updated
The MO HealthNet Division (MHD) is responding to an outbreak of respiratory disease caused by a novel (new) coronavirus. The virus has been named "SARS-CoV-2" and the disease it causes has been named "coronavirus disease 2019" (abbreviated "COVID-19").
The MHD continues to monitor Centers for Medicare and Medicaid Services (CMS) guidance related to COVID-19 testing and specimen collection. The table below lists the COVID-19 testing and specimen collection procedure codes the MHD currently covers as well as who can bill each code, effective dates, max units, and rates.
COVID-19: Vaccinator Enrollment Program Opens October 28
The Missouri COVID-19 Vaccinator Enrollment program to open October 28!
Beginning Wednesday, October 28, 2020 at 8:00 a.m., providers will utilize Missouri’s Immunization Information System, ShowMeVax, to complete the enrollment process.
Safe Sleep Training
The Department of Social Services Children’s Division initiative to decrease infant sleep related deaths has developed Part 1 of Safe Sleep Training, intended for the general public, parents/caretakers, and direct service providers!
The following is the link to the training: https://health.mo.gov/training/safesleeptest2/. To gain successful access to the training, you will need to open the link without using Internet Explorer.
COVID-19: Registered Behavior Technician - Update
On March 20, 2020, in response to the COVID-19 outbreak and due to the closure of testing centers administering the Registered Behavior Technician (RBT) exam, the MO HealthNet Division (MHD) published a provider hot tip waiving the RBT requirement for technicians who met all other requirements but had not taken the RBT exam. On July 27, 2020, the MHD published a provider hot tip to reinstate the RBT requirement.
COVID-19: MEDICAID AND CHIP PROVIDER RELIEF FUND FOR MEDICAL, DENTAL AND LONG-TERM SERVICES AND SUPPORTS – Revised
This is an update to the hot tip posted on June 22, 2020.
The application deadline for the Medicaid and Chip Provider Relief Fund has been extended to August 28, 2020. Below is additional information regarding this announcement.
COVID-19: Asthma Management at School - COVID-19 Response
The COVID19 pandemic presents new challenges for asthma management in the school setting, at least in the near-term. Join Missouri Telehealth Network’s Asthma Community Education (ACE) ECHO for a concise summary of how school nurses are preparing for safe and effective asthma care at school. Join the video webinar on August 11 at 12 pm.
Be prepared to help school nurses provide asthma care without nebulizers.
Learn about innovations in MDI administration for both routine care and life-threatening asthma exacerbations.
On the day of the Webinar…
COVID-19: Additional Albuterol Inhalers as Preferred Products - Revised
The MO HealthNet Division (MHD) is responding to an outbreak of respiratory disease caused by a novel (new) coronavirus. The virus has been named "SARS-CoV-2" and the disease it causes has been named "coronavirus disease 2019" (abbreviated "COVID-19").
COVID-19: Personal Care Program
The MO HealthNet Division (MHD) is responding to an outbreak of respiratory disease caused by a novel (new) coronavirus. The virus has been named "SARS-CoV-2" and the disease it causes has been named "coronavirus disease 2019" (abbreviated "COVID-19").
This is an update to guidance previously published on April 17, 2020.
Effective for dates of service on and after August 01, 2020, the following changes are made for health and welfare checks: