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 |
|---|---|---|---|---|
| 06/29/2015 | 37-29 | Participants Annual Review Date | Bulletins | All MO HealthNet Providers |
| 05/26/2015 | Missouri Medicaid Audit and Compliance Screening Requirements | Hot Tips | All MO HealthNet Providers | |
| 05/22/2015 | 37-15 | Outpatient Hospital and Provider-Based RHC National Drug Code Requirement | Bulletins | Hospital |
| 05/18/2015 | Missouri Medicaid Audit and Compliance Enrollment or Revalidation Process | Hot Tips | All MO HealthNet Providers | |
| 05/15/2015 | 37-21 | National Correct Coding Initiative | Bulletins | All MO HealthNet Providers |
| 05/11/2015 | Provider Address Changes | Hot Tips | All MO HealthNet Providers | |
| 04/27/2015 | Missouri Medicaid Audit and Compliance | Hot Tips | All MO HealthNet Providers | |
| 03/02/2015 | Securing and Protection of Health Information | Hot Tips | All MO HealthNet Providers | |
| 02/25/2015 | 37-13 | 2015 Healthcare Common Procedure Coding System | Bulletins | All MO HealthNet Providers |
| 02/19/2015 | 37-16 | Outpatient Hospital Radiology Fee Schedule | Bulletins | Hospital |
| 02/02/2015 | Influenza Vaccines Updates for Vaccines for Children | Hot Tips | All MO HealthNet Providers | |
| 01/26/2015 | Additional Services Available through the MO Tobacco Quitline | Hot Tips | All MO HealthNet Providers | |
| 01/20/2015 | Provider Manuals | Hot Tips | All MO HealthNet Providers | |
| 01/05/2015 | Non-Emergency Medical Transportation | Hot Tips | All MO HealthNet Providers | |
| 12/29/2014 | Give Us Your Suggestions! | Hot Tips | All MO HealthNet Providers |