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 |
|---|---|---|---|---|
| 07/01/2022 | 45-07 | Prior Authorization Removal | Bulletins | All MO HealthNet Providers |
| 07/01/2022 | 44-06 | Provider Credentialing with Show Me Healthy Kids Managed by Home State Health | Bulletins | All MO HealthNet Providers |
| 07/01/2022 | 45-01 | Provider Rate Increases | Bulletins | All MO HealthNet Providers |
| 06/28/2022 | 44-52 | Outpatient Simplified Fee Schedule | Bulletins | Hospital |
| 06/23/2022 | 44-50 | Creation of New ME Codes | Bulletins | All MO HealthNet Providers |
| 06/01/2022 | 44-49 | Show Me Healthy Kids Enrollment and Credentialing of Residential Facilities and Treatment Foster Care Providers | Bulletins | All MO HealthNet Providers |
| 03/31/2022 | COVID-19: COVID Testing and Specimen Collection Codes | Hot Tips | All MO HealthNet Providers | |
| 03/22/2022 | 44-42 | COVID 19 Vaccine | Bulletins | Hospital |
| 02/04/2022 | 44-39 | 2022 Healthcare Common Procedure Coding System | Bulletins | All MO HealthNet Providers |
| 02/04/2022 | 44-38 | Professional Component of Clinical Pathology Services | Bulletins | Hospital |
| 01/31/2022 | COVID-19: At-Home COVID Test Coverage | Hot Tips | All MO HealthNet Providers | |
| 01/28/2022 | COVID-19: Outpatient Inhaler Treatment | Hot Tips | All MO HealthNet Providers | |
| 01/06/2022 | COVID-19: Oral Antiviral Treatment | Hot Tips | All MO HealthNet Providers | |
| 12/30/2021 | 44-34 | Covid 19 Vaccine | Bulletins | All MO HealthNet Providers |
| 11/24/2021 | 44-31 | Physician and Outpatient Habilitative Services | Bulletins | Hospital |