Approval to implement the Missouri Substance Use Disorder and Serious Mental Illness 1115(a) Demonstration Waiver was received on December 6, 2023. Through this demonstration, the state will expand access to a full continuum of services across American Society of Addiction (ASAM) levels of care statewide for opioid use disorder (OUD) and other substance use disorders (SUD), as well as support access to a full continuum of mental health treatment services, by allowing Medicaid coverage and reimbursement for inpatient psychiatric services provided to eligible adults with SUD ages 12-64 within an IMD. Approval of the SUD program will allow the state to add Medicaid reimbursement for residential SUD services for individuals who meet medical necessity criteria, including residential SUD services in facilities that qualify as an institution for mental disease (IMD). In addition, approval of the serious mental illness (SMI) program will allow the state to add reimbursement for acute inpatient stays in an IMD.
Public Notice
Waiver Documents
- Post Award Forum Presentation
- Missouri Substance Use Disorder - Section 1115 Waiver
- Missouri Serious Mental Illness - Section 1115 Waiver
Provider Manual
Education & Training
Forms
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 |
|---|---|---|---|---|
| 10/27/2020 | COVID-19: Vaccinator Enrollment Program Opens October 28 | Hot Tips | All MO HealthNet Providers | |
| 10/08/2020 | 43-09 | HCY EPSDT Program | Bulletins | All MO HealthNet Providers |
| 10/06/2020 | Safe Sleep Training | Hot Tips | All MO HealthNet Providers | |
| 09/03/2020 | COVID-19: MEDICAID AND CHIP PROVIDER RELIEF FUND FOR MEDICAL, DENTAL AND LONG-TERM SERVICES AND SUPPORTS – Revised | Hot Tips | All MO HealthNet Providers | |
| 09/01/2020 | COVID-19: Registered Behavior Technician - Update | Hot Tips | All MO HealthNet Providers | |
| 08/11/2020 | 43-03 | Managed Care Member Lock-in | Bulletins | All MO HealthNet Providers |
| 08/04/2020 | COVID-19: Asthma Management at School - COVID-19 Response | Hot Tips | All MO HealthNet Providers | |
| 08/03/2020 | COVID-19: Additional Albuterol Inhalers as Preferred Products - Revised | Hot Tips | All MO HealthNet Providers | |
| 07/31/2020 | COVID-19: Personal Care Program | Hot Tips | All MO HealthNet Providers | |
| 07/29/2020 | COVID-19: Sterilization Long-Acting Reversible Contraceptive (LARC) - Revised | Hot Tips | All MO HealthNet Providers | |
| 07/27/2020 | COVID-19: Registered Behavior Technician - Update | Hot Tips | All MO HealthNet Providers | |
| 07/23/2020 | Insurance Report Form (TPL-4) | Hot Tips | All MO HealthNet Providers | |
| 07/22/2020 | Medicaid and CHIP Provider Relief Fund for Medical, Dental, and Long-Term Services and Support Services | Hot Tips | All MO HealthNet Providers | |
| 06/24/2020 | Backdating Provider Enrollment Applications | Hot Tips | All MO HealthNet Providers | |
| 06/24/2020 | COVID-19: Co-Payment - Revised | Hot Tips | All MO HealthNet Providers |