The Medically Fragile Adult Waiver offers services to individuals who have serious and complex medical needs and are no longer eligible for services under the Healthy Children and Youth program. To be eligible, an individual must be age 21 or older and assessed as requiring placement in an ICF/MR absent these services. The services available include attendant care, private duty nursing, and specialized medical supplies. The Department of Health and Senior Services, Bureau of Special Health Care Needs administers this program.
Public Notice
Waiver Documents
Provider Manual
Education & Training
Forms
- Provider Forms
- Provider Update Request
- Medically Fragile Adult Waiver Addendum to MMAC Provider Agreement for Home Health, Personal Care or Private Duty Nursing Services
- Medically Fragile Adult Waiver Provider Monitoring Log
- Medically Fragile Adult Waiver Private Duty Nursing Acceptance
Resources
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 |
|---|---|---|---|---|
| 08/02/2019 | 42-13 | Home and Community Based Waiver | Bulletins | Medically Fragile Adult Waiver |
| 07/12/2019 | 42-03 | Rate Update for Home and Community-Based Services | Bulletins | Medically Fragile Adult Waiver |
| 05/31/2019 | Changes to Remittance Advice | Hot Tips | All MO HealthNet Providers | |
| 04/26/2019 | Third Party Vendor Requesting Drug Prior Authorization | Hot Tips | All MO HealthNet Providers | |
| 02/15/2019 | Reimbursement Issues - Pricing Inquiry Process | Hot Tips | All MO HealthNet Providers | |
| 02/13/2019 | 41-40 | 2019 Healthcare Common Procedure Coding System | Bulletins | All MO HealthNet Providers |
| 01/31/2019 | 41-38 | Telehealth Originating Site Reimbursement | Bulletins | All MO HealthNet Providers |
| 12/17/2018 | NADAC Pricing Inquiries | Hot Tips | All MO HealthNet Providers | |
| 12/13/2018 | 41-29 | Medicare Crossover Claims | Bulletins | All MO HealthNet Providers |
| 10/17/2018 | 41-25 | ICD-10 Annual Updates 2018 | Bulletins | All MO HealthNet Providers |
| 10/12/2018 | 41-24 | Ordering Prescribing and Referring Provide Requirements | Bulletins | All MO HealthNet Providers |
| 10/10/2018 | 41-22 | Provider Enrollment Requirement | Bulletins | All MO HealthNet Providers |
| 10/05/2018 | 41-20 | Telehealth Telemedicine | Bulletins | All MO HealthNet Providers |
| 09/24/2018 | Updated EBPT Invoice | Hot Tips | All MO HealthNet Providers | |
| 07/16/2018 | 41-06 | Primary Care Health Home | Bulletins | All MO HealthNet Providers |