All MO HealthNet Providers

COVID-19: Long-Acting Reversible Contraceptive (LARC)

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").

During this event, if participants are unable to get a Long-Acting Reversible Contraceptive (LARC) because their procedure is rescheduled, MO HealthNet will ensure coverage of the procedure at the later date.

This Hot Tip also applies to providers that are contracted with the Managed Care Organizations.

COVID-19: Home Health Program - 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").

Beginning March 13, 2020 and until the end of the public health emergency due to COVID-19, the following changes have been implemented for the Home Health Program:

COVID-19: Pharmacy Copayment Exemption

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").

MHD is waiving all copays, including the shared dispensing fee for pharmacy services, for the duration of the COVID-19 pandemic effective immediately. MHD has contacted the pharmacy switch vendors to modify the copay requirements. Until these changes are made pharmacies will need to manually waive copays.

COVID-19: 1135 Waiver Implementation for Pre-Admission Screening and Resident Review (PASRR)

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"). 

Effective April 2, 2020 and through the end of the Federal Emergency Declaration, certified Skilled Nursing Facilities and Intermediate Care Facilities may follow the process outlined below for new admissions into Medicaid-certified beds.

Checking Elgibility

MO HealthNet would like to remind providers checking eligibility via eMOMED to wait until after 8:00 a.m. daily.

Updates to the eligibility system occur "overnight." Waiting until after 8:00 a.m. will ensure an accurate response.

COVID-19: New Laboratory 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").

MO HealthNet continues to monitor Centers for Medicare and Medicaid Services (CMS) guidance related COVID-19 testing procedures. The table below lists the COVID-19 testing procedure codes MO HealthNet currently covers as well as their effective dates, max units, and rates.

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