Aetna Inpatient Care

Consistent with the Managed Care health plan contract, all participants enrolled with Aetna Better Health of Missouri (Aetna) will be transitioned to a new Managed Care health plan effective May 1, 2017. However, for Aetna participants in an inpatient hospital setting that will extend beyond April 30, 2017 coverage will continue under Aetna until discharged. The MO HealthNet Division is asking that providers, participants or the Managed Care health plans contact the following with the admission date and/or the discharge date:

Managed Care Goes Statewide on May 1, 2017

Effective May 1, 2017, the MO HealthNet Managed Care program is offered statewide to all 114 counties and the City of St. Louis. Approximately 240,000 participants, who previously were enrolled in the MO HealthNet Fee-For-Service (FFS) program, are transitioned to a Managed Care health plan. These new Managed Care participants join about 500,000 existing Managed Care participants, amounting to an estimated 740,000 Missourians in the Managed Care program.

Verifying Participant Eligibility

MO HealthNet Division (MHD) still uses day specific eligibility.

The MHD recently informed providers of the new Emomed functionality allowing them to view participant information and Managed Care enrollment up to 31 days in the future.

The recent change to Emomed was “technical only” and does not reflect a change in eligibility policy.

2017 MO HealthNet Training Workshops

The MO HealthNet Division (MHD) Provider Education staff conducts yearly general program workshops. Instructions on how to register are outlined on the workshop schedule.

If a provider has registered for a workshop and cannot attend for any reason, contact MHD Provider Education Unit to cancel the registration. The Provider Education staff may be contacted by phone at (573)-751-6963, or by email at MHD.provtrain@dss.mo.gov.

Updated 1st Quarter Webinar Trainings

The MO HealthNet Webinar Training Conference schedule for the 1st Quarter has been updated. We will not offer training for the following programs during the 1st quarter: Local Public Health Agency, Outpatient Hospital, Medical Clinics and Physicians, Inpatient Hospital, Rural Health Clinic Independent, and Rural Health Clinic Provider-Based. The above programs will be included in the 2nd quarter webinar schedule that will be posted in early March 2017.

Please access the 1st Quarter 2017 Webinar Trainings to register.

Missouri Children's Trauma Network Training Summit

The Missouri Kid's First, Missouri Department of Mental Health, and the Missouri Coalition for Community Behavioral Healthcare have partnered together to provide a one day training summit focused on youth and trauma training.

The Missouri Children's Trauma Network Training Summit registration is now open (registration link below). The training summit is scheduled for May 5, 2016 at the Holiday Inn and Executive Center (address below). This training is free of cost and lunch will be provided.

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