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 |
|---|---|---|---|---|
| 12/22/2014 | Participant Eligibility Training Tool | Hot Tips | All MO HealthNet Providers | |
| 12/15/2014 | Non-Emergency Medical Transportation | Hot Tips | All MO HealthNet Providers | |
| 11/17/2014 | Reimbursements for Circumcisions | Hot Tips | Hospital | |
| 11/10/2014 | Resources to Verify MO HealthNet Eligibility | Hot Tips | All MO HealthNet Providers | |
| 11/03/2014 | Non-Covered vs. Non-Allowable Services | Hot Tips | All MO HealthNet Providers | |
| 10/27/2014 | WebEx Meetings Conducted by Provider Education and Training Unit | Hot Tips | All MO HealthNet Providers | |
| 10/20/2014 | Scheduled Webinars for Listed Claim Types | Hot Tips | All MO HealthNet Providers | |
| 10/16/2014 | Participant Lock-In | Hot Tips | All MO HealthNet Providers | |
| 10/14/2014 | Non-QMB, Medicare Part C Plan | Hot Tips | All MO HealthNet Providers | |
| 09/29/2014 | Reconstructive Breast Surgery | Hot Tips | Hospital | |
| 09/22/2014 | Electronic Claim Submission | Hot Tips | All MO HealthNet Providers | |
| 09/15/2014 | Third Party Resources | Hot Tips | All MO HealthNet Providers | |
| 09/02/2014 | MO HealthNet Spenddown Provider Form | Hot Tips | All MO HealthNet Providers | |
| 08/04/2014 | Billing for Multiple Surgical Procedures | Hot Tips | Hospital | |
| 07/29/2014 | Bundled Value Code - Medicare UB-04 Part A Institutional Claims | Hot Tips | All MO HealthNet Providers |