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 |
|---|---|---|---|---|
| 09/01/2017 | 40-22 | Outpatient Hospital Laboratory Fee Schedule | Bulletins | Hospital |
| 08/15/2017 | 40-18 | Providers Billing Pharmacy Claims | Bulletins | All MO HealthNet Providers |
| 08/10/2017 | 40-17 | Providers Billing Pharmacy Claims | Bulletins | All MO HealthNet Providers |
| 08/01/2017 | 40-16 | Medicaid Management Information System MMIS Data Center and Computer Hardware Replacement | Bulletins | All MO HealthNet Providers |
| 07/27/2017 | 40-14 | Outpatient Hospital Claims Mass Adjustment | Bulletins | Hospital |
| 04/28/2017 | Aetna Inpatient Care | Hot Tips | All MO HealthNet Providers | |
| 04/28/2017 | Managed Care Goes Statewide on May 1, 2017 | Hot Tips | All MO HealthNet Providers | |
| 04/24/2017 | Verifying Participant Eligibility | Hot Tips | All MO HealthNet Providers | |
| 04/14/2017 | 39-52 | Providers Billing Pharmacy Claims | Bulletins | All MO HealthNet Providers |
| 04/13/2017 | Outpatient Hospital Facility Charges | Hot Tips | Hospital | |
| 03/23/2017 | 39-49 | Presumptive Eligibility Authorization Notices | Bulletins | All MO HealthNet Providers |
| 03/20/2017 | 39-50 | Managed Care Bulletin | Bulletins | All MO HealthNet Providers |
| 02/17/2017 | 2017 MO HealthNet Managed Care Webinar Training | Hot Tips | All MO HealthNet Providers | |
| 02/14/2017 | Updated 1st Quarter Webinar Trainings | Hot Tips | All MO HealthNet Providers | |
| 02/14/2017 | 2017 MO HealthNet Training Workshops | Hot Tips | All MO HealthNet Providers |