The MO HealthNet Division is responding to an outbreak of respiratory disease caused by a novel (new) coronavirus. The virus has been named "SARS-CoV-2" and the disease it causes has been named "coronavirus disease 2019" (abbreviated "COVID-19").
Effective with dates of service on or after January 1, 2020 and through the end of the public health emergency MO HealthNet is waiving the co-payment for ALL services. MO HealthNet will process a mass adjustment to remove the co-payment for claims with dates of service on or after January 1, 2020.
Pharmacy shared dispensing fees are calculated by the billing provider. Pharmacies should refer to the previous pharmacy co-payment hot tips.
Providers who have collected copayments from participants for dates of service January 1, 2020 through the end of the public health emergency must refund the copayments to the participants. Shared dispensing fees should not be retroactively adjusted.