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 |
|---|---|---|---|---|
| 10/10/2018 | 41-22 | Provider Enrollment Requirement | Bulletins | All MO HealthNet Providers |
| 10/05/2018 | 41-20 | Telehealth Telemedicine | Bulletins | All MO HealthNet Providers |
| 09/24/2018 | Updated EBPT Invoice | Hot Tips | All MO HealthNet Providers | |
| 07/16/2018 | 41-06 | Primary Care Health Home | Bulletins | All MO HealthNet Providers |
| 05/11/2018 | Participants with Other Insurance Coverage | Hot Tips | All MO HealthNet Providers | |
| 05/11/2018 | Re-Pricing Medicare Inpatient Hospital Claims | Hot Tips | Hospital | |
| 04/03/2018 | Outpatient Hospital Billing Tips for 340B Providers | Hot Tips | Hospital | |
| 02/02/2018 | 40-47 | Telehealth | Bulletins | All MO HealthNet Providers |
| 01/30/2018 | 40-45 | 2018 Healthcare Common Procedure Coding System | Bulletins | All MO HealthNet Providers |
| 11/27/2017 | 40-31 | Hospital Services | Bulletins | Hospital |
| 10/26/2017 | 40-27 | Ordering Prescribing and Referring Provider Requirements | Bulletins | All MO HealthNet Providers |
| 10/05/2017 | Reimbursement Issues – Pricing Inquiry Process | Hot Tips | All MO HealthNet Providers | |
| 10/05/2017 | Immunizations for Dual Eligible Participants | Hot Tips | All MO HealthNet Providers | |
| 10/04/2017 | 40-25 | ICD-10 Annual Updates 2017 | Bulletins | All MO HealthNet Providers |
| 09/26/2017 | Outpatient Drug Quantity Billing | Hot Tips | Hospital |