MO HealthNet Division (MHD) covers Biopsychosocial Treatment of Obesity for youth and adults for dates of service on or after September 1, 2021.
MHD coverage for biopsychosocial treatment of obesity (see Provider Bulletin Volume 44, Number 12 https://dss.mo.gov/mhd/providers/pdf/bulletin44-12.pdf) is an integrated approach to care that includes both medical nutrition therapy and behavioral health counseling to improve weight status and to facilitate behavior changes to manage obesity and associated co-morbidities for youth and adult participants. This program offers services consistent with the United States Preventive Services Task Force (USPSTF) recommendations for intensive, multicomponent behavioral interventions to improve weight status for adults and children/youth with obesity.
The prescribing provider must obtain prior authorization before the participant starts receiving services. Prior authorization can be obtained by calling the Preventative Services Pre-Certification Hotline (800-392-8030 option 7) or by using CyberAccess.
Prior authorization for either treatment component in isolation will not be granted.
MHD does not cover drugs prescribed for weight loss.
Servicing providers must be enrolled as a Biopsychosocial Treatment of Obesity provider. For any questions regarding enrollment, please email MMAC.ProviderEnrollment@dss.mo.gov.
The link to complete the electronic application is: https://peu.momed.com/peu/momed/presentation/commongui/PeHome.jsp
Any questions regarding enrollment should be emailed to:
MMAC.ProviderEnrollment@dss.mo.gov