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.
Education & Training
- Breast and Cervical Cancer Treatment (BCCT) Expansion
- MO HealthNet Education & Training
- Hospital Billing for Dental in Outpatient Setting
Forms
Provider Manual
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 |
|---|---|---|---|---|
| 06/24/2020 | COVID-19: Co-Payment - Revised | Hot Tips | All MO HealthNet Providers | |
| 06/24/2020 | Backdating Provider Enrollment Applications | Hot Tips | All MO HealthNet Providers | |
| 06/10/2020 | Participant Liability (Balance Billing) | Hot Tips | All MO HealthNet Providers | |
| 06/03/2020 | COVID-19: Temporary Licensing for Dental Providers | Hot Tips | All MO HealthNet Providers | |
| 05/28/2020 | COVID-19: COVID Testing and Specimen Collection Codes | Hot Tips | All MO HealthNet Providers | |
| 05/21/2020 | COVID-19: Radiology (Diagnosis Codes Added) - Revised | Hot Tips | All MO HealthNet Providers | |
| 05/21/2020 | COVID-19: Telehealth Services Covered Speech Therapy, Physical Therapy, and Occupational Therapy | Hot Tips | All MO HealthNet Providers | |
| 05/20/2020 | COVID-19: Long-Acting Reversible Contraceptive (LARC) | Hot Tips | All MO HealthNet Providers | |
| 05/15/2020 | COVID-19: Pharmacy Copayment Exemption Clarification | Hot Tips | All MO HealthNet Providers | |
| 05/15/2020 | COVID-19: Home Health Program - Revised | Hot Tips | All MO HealthNet Providers | |
| 05/14/2020 | COVID-19: Specimen Collection for Outpatient Services | Hot Tips | All MO HealthNet Providers | |
| 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 |