All MO HealthNet Providers

COVID-19: Telemedicine Services

During the COVID-19 public health emergency (PHE), MO HealthNet (MHD) reminded providers of program policies around telemedicine services.

The COVID-19 public health emergency will expire on May 11, 2023. Effective May 12, 2023 MO HealthNet, will continue to allow any licensed health care provider, enrolled as a MO HealthNet provider, to provide telehealth services if the services are within the scope of practice for which the health care provider is licensed. The services must be provided with the same standard of care as services provided in person.

COVID-19: Radiology - Chest CT Scans

During the COVID-19 public health emergency (PHE), MO HealthNet (MHD) did not require providers to obtain prior authorization for Chest CT Scan HCPCS codes 71250, 71260, and 71270 when the following COVID-19 related diagnosis codes were present: B34.2, B97.29, J12.89, J20.8, J22, J40, J80, J96.00, J96.01, J96.02, J96.20, J96.21, J96.22, J98.8, P22.0, P28.5, R05, R06.02, R09.02, R50.9, Z03.818, Z09, Z20.828, Z86.19, Z11.52, Z20.822, Z86.16, M35.81, M35.89 and J12.82.

COVID-19 Vaccines

During the COVID-19 public health emergency (PHE), if a participant was enrolled in a Managed Care Organization (MCO), the administration of the COVID-19 vaccine was billed to the MO HealthNet Fee-for-Service program, and not to the MCO.

The COVID-19 public health emergency will expire on May 11, 2023. Effective May 12, 2023, the administration of the COVID-19 vaccine will be billed to the MCO.

If a participant is not enrolled in an MCO, the administration of the COVID-19 vaccine will be billed to the MO HealthNet Fee-for-Service program.

Extended/Uninsured Women's Health Services COVID-19 Testing

During the COVID-19 public health emergency (PHE), MO HealthNet Division covered COVID-19 testing for participants in the State-funded categories of assistance for Extended/Uninsured Women’s Health Services (Medicaid eligibility codes 80 and 89).

The COVID-19 PHE will expire on May 11, 2023. Effective May 12, 2023, MO HealthNet Division will no longer cover COVID-19 testing for participants in the State-funded categories of assistance for Extended/Uninsured Women’s Health Services (Medicaid eligibility codes 80 and 89).

COVID-19: Registered Behavior Technician

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 temporarily waiving the RBT requirement for technicians who met all other requirements but had not taken the RBT exam.

The COVID Public Health Emergency will expire on May 11, 2023. Effective May 12, 2023, this requirement will no longer be waived.

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