The MO HealthNet Division covers the cost of hospital services including inpatient and outpatient services for MO HealthNet eligible participants. An acute inpatient service is one in which the hospital expects to provide service to the member in the hospital for a 24-hour period or longer. Outpatient hospital services are those services provided to a member not admitted by the hospital as an inpatient but is registered on the hospital records as an outpatient and receives services from the hospital.
Resources
- Benefit Tables
- Claims & Billing
- CyberAccess
- FAQs
- Fee Schedules
- Inpatient Stay Exemption by Diagnosis Code Table
- Laboratory Program
- Outpatient Hospital Radiology Fee Schedules 2018 | 2019 | 2020 | 2021
- Outpatient Hospital Laboratory Fee Schedule 2019-2021
- Outpatient Hospital Surgical Procedural Fee Schedule 2019
- Outpatient Hospital Simplified Fee Schedules 2021 | 2022
- Pre-Certification Criteria
- Radiology Program
- Provider Information
MO HealthNet News
The table below provides general information and updates that are relevant to this program page, as well as all MO HealthNet providers. To find information for all other MO HealthNet programs, or to search by date, program or keyword, visit the MO HealthNet News page. If you would like to receive updates in your inbox, subscribe to MO HealthNet News!
| Date | Volume Number | Subject | Type | Program |
|---|---|---|---|---|
| 04/27/2021 | HMS Hospital/Long Term Care Audits and Commercial Insurance Disallowance Audits | Hot Tips | Hospital | |
| 04/13/2021 | 43-26 | Outpatient Simplified Fee Schedule | Bulletins | Hospital |
| 04/12/2021 | 43-24 | COVID 19 Vaccine Revised | Bulletins | All MO HealthNet Providers |
| 04/12/2021 | 43-24 | COVID-19 Vaccine Revised | Bulletins | All MO HealthNet Providers |
| 03/24/2021 | COVID-19: COVID Testing and Specimen Collection Codes - Revised | Hot Tips | All MO HealthNet Providers | |
| 03/04/2021 | 43-22 | 2021 Health Care Common Procedure Coding System | Bulletins | All MO HealthNet Providers |
| 03/03/2021 | 43-21 | Revised Monoclonal Antibody COVID 19 Infusion | Bulletins | All MO HealthNet Providers |
| 02/11/2021 | 43-19 | Money Follows the Person Program | Bulletins | All MO HealthNet Providers |
| 02/08/2021 | 43-18 | Monoclonal Antibody COVID 19 Infusion | Bulletins | All MO HealthNet Providers |
| 01/19/2021 | COVID-19: Radiology (Diagnosis Codes Added effective 1/1/21) | Hot Tips | All MO HealthNet Providers | |
| 01/13/2021 | Logisticare Solutions, LLC Changes Name to ModivCare Solutions, LLC | Hot Tips | All MO HealthNet Providers | |
| 01/12/2021 | COVID-19: COVID-19 Testing for participants with Extended/Uninsured Women's Health Services | Hot Tips | All MO HealthNet Providers | |
| 12/23/2020 | 43-14 | Missouri Care Name Change to Healthy Blue | Bulletins | All MO HealthNet Providers |
| 12/23/2020 | Managed Care Enrollment Inquiries | Hot Tips | All MO HealthNet Providers | |
| 12/21/2020 | 43-13 | Revised COVID-19 Vaccine | Bulletins | All MO HealthNet Providers |