The Medicare/Medicaid Claims Processing manual contains information pertaining to MO HealthNet Medicare and Medicaid Claims Processing.
Education & Training
- MO HealthNet Education & Training
- Claim Filing Samples
- Inpatient Medicare Part A Crossover Claim Filing on eProvider
- Medical CMS-1500 with Other Payer
- Medicare Part B Crossover Claim Filing
- Medicare Part B of A Crossover Claim Filing
- Medicare Part C ~ QMB claim filing
- Medicare Part C NON ~ QMB claim filing
- Medicare: Medical CMS-1500 Crossover Training March 2025
Forms
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 |
|---|---|---|---|---|
| 07/16/2018 | 41-06 | Primary Care Health Home | Bulletins | All MO HealthNet Providers |
| 05/11/2018 | Participants with Other Insurance Coverage | Hot Tips | All MO HealthNet Providers | |
| 05/11/2018 | Re-Pricing Medicare Inpatient Hospital Claims | Hot Tips | Medicaid/Medicare Claims | |
| 02/02/2018 | 40-47 | Telehealth | Bulletins | All MO HealthNet Providers |
| 01/30/2018 | 40-45 | 2018 Healthcare Common Procedure Coding System | Bulletins | All MO HealthNet Providers |
| 10/26/2017 | 40-27 | Ordering Prescribing and Referring Provider Requirements | Bulletins | All MO HealthNet Providers |
| 10/05/2017 | Reimbursement Issues – Pricing Inquiry Process | Hot Tips | All MO HealthNet Providers | |
| 10/05/2017 | Immunizations for Dual Eligible Participants | Hot Tips | All MO HealthNet Providers | |
| 10/04/2017 | 40-25 | ICD-10 Annual Updates 2017 | Bulletins | All MO HealthNet Providers |
| 08/15/2017 | 40-18 | Providers Billing Pharmacy Claims | Bulletins | All MO HealthNet Providers |
| 08/10/2017 | 40-17 | Providers Billing Pharmacy Claims | Bulletins | All MO HealthNet Providers |
| 08/01/2017 | 40-16 | Medicaid Management Information System MMIS Data Center and Computer Hardware Replacement | Bulletins | All MO HealthNet Providers |
| 04/28/2017 | Aetna Inpatient Care | Hot Tips | All MO HealthNet Providers | |
| 04/28/2017 | Managed Care Goes Statewide on May 1, 2017 | Hot Tips | All MO HealthNet Providers | |
| 04/24/2017 | Verifying Participant Eligibility | Hot Tips | All MO HealthNet Providers |