Welcome to the MO HealthNet Pharmacy Program. The MO HealthNet Pharmacy Program oversees reimbursement for outpatient, fee-for-service prescription drugs, over-the-counter products and devices. The program is responsible for pharmacy program and policy development and uses best practices and evidence-based medicine to drive clinical policy development. Pharmacy Administration is responsible for the pharmacy program and policy development for MHD. Contact Pharmacy Administration at MHD.PharmacyAdmin@dss.mo.gov or call (573) 751-6963.
Education & Training
- Alcohol Use Disorder Treatment Options
- Albuterol Limit for Prescribers
- MO HealthNet Education & Training
- Opioid Policy Update
- Opioid Reversal Agents
- Pharmacy Billing Medical Claims
- Pharmacy Prior Authorization Process
- Pharmacy Provider Resource Guide
- Proper Drug Billing Course
Forms
- Provider Forms
- ADHD Medication Prior Authorization Children Less than 6 Years Old
- Antipsychotic Children less than 9 years old Prior Authorization
- Benzodiazepine Prior Authorization
- Compound Prior Authorization
- Continuous Glucose Monitoring Device Tubeless Insulin Pump Prior Authorization
- Diabetic Supplies Prior Authorization
- Drug Prior Authorization
- GLP-1 Receptor Agonists for All Indications Prior Authorization
- Growth Hormone Somatropin Agents Prior Authorization
- Hepatitis C Treatment Prior Authorization
- Opioid Prior Authorization
- Psychotropic Medication Polypharmacy Prior Authorization
- Request for Brand Name Drug Prior Authorization
- Synagis Prior Authorization
- Targeted Immune Modulators Prior Authorization Misc Allergy and Asthma-related Monoclonal Antibodies
Provider Manual
Resources
- Claims & Billing
- Drugs Carved Out of Inpatient Per Diem
- Drugs Carved Out of 340B Reimbursement
- Drugs with Coverage Limitations and New Drug Review
- FAQs
- Fee Schedules
- Missouri Maximum Allowable Cost For Specific Drug Products
- New Drug AMCP Guidelines (Abbr.) and Cover Letter - 9.1.19
- New Drug Review Process
- 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 |
|---|---|---|---|---|
| 07/08/2024 | Home Health Provider Notice | Hot Tips | All MO HealthNet Providers | |
| 07/03/2024 | 47-04 | Pharmacy Program Reimbursement | Bulletins | Pharmacy |
| 07/01/2024 | 2024-2 | Provider Newsletter 3rd Quarter 2024 | Newsletters | All MO HealthNet Providers |
| 06/21/2024 | Missouri’s Master Plan on Aging Survey | Hot Tips | All MO HealthNet Providers | |
| 06/18/2024 | MO HealthNet Community Connection | Hot Tips | All MO HealthNet Providers | |
| 05/29/2024 | 46-62 | HRSA 340B Program Rules | Bulletins | Pharmacy |
| 05/28/2024 | Optimizing MO's Managed Care Plan Benefits for Maternal & Infant Health – June 27 | Hot Tips | All MO HealthNet Providers | |
| 05/10/2024 | PACE Benefit Table | Hot Tips | Pharmacy | |
| 04/30/2024 | MO Medicaid Audit & Compliance New Toll-Free Number | Hot Tips | All MO HealthNet Providers | |
| 04/25/2024 | Claims Processing Schedule for Fiscal Year 2025 | Hot Tips | All MO HealthNet Providers | |
| 04/19/2024 | 46-53 | Update to Medicare Crossover Claims | Bulletins | All MO HealthNet Providers |
| 04/11/2024 | 2024 Relias Continuing Education Courses | Hot Tips | All MO HealthNet Providers | |
| 04/08/2024 | 46-49 | Pharmacy Program Reimbursement 2024 | Bulletins | Pharmacy |
| 04/03/2024 | Optimizing Missouri’s Managed Care Plan Benefits for Maternal and Infant Health – Cape Girardeau, April 23, 2024 | Hot Tips | All MO HealthNet Providers | |
| 04/02/2024 | 46-48 | Free Standing Birth Center Bulletin | Bulletins | All MO HealthNet Providers |