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 |
|---|---|---|---|---|
| 07/14/2014 | Provider Participant Page | Hot Tips | All MO HealthNet Providers | |
| 07/08/2014 | 37-03 | Non-Payment of State Children's Health Insurance Premium | Bulletins | All MO HealthNet Providers |
| 07/07/2014 | Scheduled Webinars for Listed Claims Types | Hot Tips | All MO HealthNet Providers | |
| 06/30/2014 | Claims Processing and Payment Schedule for Fiscal Year 2015 | Hot Tips | All MO HealthNet Providers | |
| 06/23/2014 | Contacting the Provider Education Unit | Hot Tips | All MO HealthNet Providers | |
| 06/19/2014 | 36-33 | ICD-10 Delay in Implementation Date | Bulletins | All MO HealthNet Providers |
| 06/16/2014 | Hospital Medical Record Documentation | Hot Tips | Hospital | |
| 06/12/2014 | 36-31 | Physician Bulletin: Reconstructive Breast Surgery and Circumcision | Bulletins | Hospital |
| 06/09/2014 | Reason Some Crossover Claims do not Process Automatically | Hot Tips | All MO HealthNet Providers | |
| 06/02/2014 | Benefit Matrix | Hot Tips | All MO HealthNet Providers | |
| 05/26/2014 | Temporary Assistance for Pregnant Women Benefits and Limitations for Hospital | Hot Tips | Hospital | |
| 05/05/2014 | Participant Administrative Lock-In | Hot Tips | All MO HealthNet Providers | |
| 04/30/2014 | 36-28 | Outpatient Hospital Radiology Fee Schedule | Bulletins | Hospital |
| 04/17/2014 | 36-24 | MO HealthNet Primary Care Health Home Initiative | Bulletins | All MO HealthNet Providers |
| 04/14/2014 | Delivery and Placement Date Versus Date of Service | Hot Tips | All MO HealthNet Providers |