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 |
|---|---|---|---|---|
| 05/11/2020 | COVID-19: DME - Signature Requirements | Hot Tips | All MO HealthNet Providers | |
| 05/06/2020 | COVID-19: Pharmacy Copayment Exemption | Hot Tips | All MO HealthNet Providers | |
| 05/01/2020 | 42-40 | Diabetes Prevention Program | Bulletins | Hospital |
| 04/29/2020 | COVID-19: Private Duty Nursing Services | Hot Tips | All MO HealthNet Providers | |
| 04/22/2020 | COVID-19: 1135 Waiver Implementation for Pre-Admission Screening and Resident Review (PASRR) | Hot Tips | All MO HealthNet Providers | |
| 04/22/2020 | 42-39 | Nursing Facility Program: Cost Report due to COVID-19 | Bulletins | All MO HealthNet Providers |
| 04/22/2020 | Checking Elgibility | Hot Tips | All MO HealthNet Providers | |
| 04/21/2020 | COVID-19: New Laboratory Codes - Updated | Hot Tips | All MO HealthNet Providers | |
| 04/17/2020 | COVID-19: Home Health | Hot Tips | All MO HealthNet Providers | |
| 04/17/2020 | COVID-19: Personal Care Program Services | Hot Tips | All MO HealthNet Providers | |
| 04/07/2020 | COVID-19: Claims for MO HealthNet Participants with Medicare or Commercial Insurance | Hot Tips | All MO HealthNet Providers | |
| 04/03/2020 | COVID-19: EPSDT - Well-Child Care Visits via Telehealth | Hot Tips | All MO HealthNet Providers | |
| 04/02/2020 | COVID-19: Private Duty Nursing (PDN) | Hot Tips | All MO HealthNet Providers | |
| 04/01/2020 | COVID-19: CPAP and NiPAP/Sleep Studies Criteria | Hot Tips | All MO HealthNet Providers | |
| 03/27/2020 | COVID-19: Sedative Hypnotic Preferred Drug List | Hot Tips | All MO HealthNet Providers |