MO HealthNet participants, who are eligible to receive Non-Emergency Medical Transportation (NEMT), should request for transportation at least five (5) calendar days in advance by calling (866) 269-5927. Requests may be made 24 hour a day, seven (7) days a week.
The MO HealthNet Division (MHD) provides weekly Hot Tips to providers to assist them in receiving timely reimbursement. Please share these weekly hot tips with billing staff.
If there is a topic that you would like to see covered, please send them by e-mail to: MHD.provtrain@dss.mo.gov.
Eligibility verification is essential to processing a claim for reimbursement. Providers shall check participant eligibility on the date of service (DOS) to verify the participant’s eligibility status and covered services.
The Non-Emergency Medical Transportation (NEMT) program may be utilized by participants to receive transportation to their MO HealthNet covered medical appointment. The NEMT broker is LogistiCare Solutions, LLC.
An enrolled MO HealthNet provider may call 1-866-269-5927 to arrange transportation, Monday through Friday 8:00 AM to 5:00 PM at least 5 calendar days before an appointment to assist a patient. Urgent appointments and hospital discharges may be called in 24 hours a day, 7 days a week.
Providers have several resources that make checking participant eligibility convenient. The following resources are located at the Provider Participant Page:
Providers commonly are confused between “non-covered” and “non-allowable” services. The various provider manuals contain sections, which describe these services.
Provider Education Unit would like to advise provider’s that Webinar’s are now scheduled and conducted with WebEx Meeting. This new feature will assure that providers are still given full directions and allotted scheduled time for questions.
MO HealthNet Division (MHD) Provider Education Unit provides Webinar based trainings to enrolled providers. Please access the Webinar Training schedule to attend any training that pertains to the provider’s specific training needs.
MO HealthNet Division (MHD) will process claims in accordance with the established MHD coordination of benefits policy for Non-Qualified Medicare Beneficiary (Non-QMB) participants enrolled in a Medicare Advantage/Part C plan. Please refer to the policy in the MHD provider manuals, General Section 5 - Third Party Liability.
Some MO HealthNet participants are restricted or locked-in to authorized MO HealthNet providers of certain services to help the participant use the MO HealthNet program properly. When the participant has an administrative lock-in provider, the provider’s name and telephone number are identified on electronic billing website emomed or the IVR (Interactive Voice Response) system accessed from 573-751-2896, when verifying eligibility.
