All MO HealthNet Providers

COVID-19: Provider Information (Physicians, Medical Clinics, FQHC’s, RHC’s) - Corrected

The MO HealthNet Division 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 Department of Health & Senior Services (DHSS) webpage has the most current and comprehensive information.  DHSS’ 24 hour hotline is (877) 435-8411.  Please continue to review this information regularly.

COVID-19: Adult Exceptions and DME Supplies

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").

In an effort to help contain the spread of the virus, temporary measures will be in place immediately to ensure our participants can still receive necessary items.

COVID-19: Laboratory

The MO HealthNet Division 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 providers who test patients for COVID-19 may bill using the newly created HCPCS codes U0001 and U0002.

COVID-19: COVID-19

The MO HealthNet Division 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 providers who test patients for COVID-19 may bill using the newly created HCPCS codes U0001 and U0002.

HCPCS code U0001 is used specifically for CDC testing laboratories to test patients for SARS-CoV-2.  HCPCS code U0002 allows laboratories to bill for non-CDC laboratory tests for SARS-CoV-2.

Medicare Beneficiary Identification Number (MBI)

All Medicare claims submitted after January 1, 2020, are required to use the new MBI number. Effective January 1, 2020, claims filed without the MBI will deny for a mismatch of DCN/MBI combination not found in the MMIS.

The Medicare Access and CHIP Reauthorization Act (MACRA) required CMS to remove Social Security Numbers (SSNs) from the current SSN-based Health Insurance Claim Number (HICN)

Missouri Dual eligible Medicaid and Medicare participants have received their new cards.

Department of Health and Senior Services Lung Injury Outbreak Information

The Department of Health and Senior Services (DHSS) is working with the Centers for Disease Control and Prevention (CDC), the U.S. Food and Drug Administration (FDA), local health departments, and other clinical and public health partners to investigate a multistate outbreak of lung injury associated with use of e-cigarette, or vaping.

Social Security Number Removal Initiative

The Medicare Access and CHIP Reauthorization Act (MACRA) requires CMS to remove Social Security Numbers (SSNs) from the current SSN-based Health Insurance Claim Number (HICN) and issue a new Medicare card with a Medicare Beneficiary Identification (MBI) number.

CMS has finalized mailing the new Medicare Beneficiary ID cards with the new MBI numbers to participants. Therefore, all Missouri Dual eligible Medicaid and Medicare participant have received their new cards.

Changes to Remittance Advice

Effective with the 4/19/19 Health Care Claim Payment/Advice (835), MO HealthNet implemented a required system change to correct what is reported as the submitted line item charge on the 835 for crossover claims. This will affect 837I (Institutional; Outpatient, Nursing Home, Inpatient, etc.) and 837P Professional (Medical, Dental) claim types.