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 |
|---|---|---|---|---|
| 04/12/2016 | Missouri Children's Trauma Network Training Summit | Hot Tips | All MO HealthNet Providers | |
| 03/30/2016 | 2016 Missouri HealthNet Webinar Trainings | Hot Tips | All MO HealthNet Providers | |
| 03/24/2016 | Missouri Tobacco Quitline Update from Department of Health and Senior Services (DHSS) | Hot Tips | All MO HealthNet Providers | |
| 02/22/2016 | Motivational Interviewing Regional Training Program | Hot Tips | All MO HealthNet Providers | |
| 02/19/2016 | 38-33 | Primary Care Health Home | Bulletins | All MO HealthNet Providers |
| 02/16/2016 | 2016 MO HealthNet Training Workshops | Hot Tips | All MO HealthNet Providers | |
| 01/12/2016 | Provider Medicare Notification Letters | Hot Tips | All MO HealthNet Providers | |
| 01/07/2016 | 38-11 | ASC | Bulletins | All MO HealthNet Providers |
| 12/02/2015 | 38-17 | Medicare Advantage Part C Claims Using the ASC X12 837 Transactions | Bulletins | All MO HealthNet Providers |
| 12/01/2015 | Periodicity Schedule for Health Children and Youth (HCY) Early Periodic Screening and Diagnosis & Treatment (EPSDT) Services | Hot Tips | All MO HealthNet Providers | |
| 11/17/2015 | Interactive Voice Response (IVR) System | Hot Tips | All MO HealthNet Providers | |
| 11/03/2015 | International Classification of Diseases (ICD) MO HealthNet Claim Filing Guidelines | Hot Tips | All MO HealthNet Providers | |
| 09/08/2015 | ICD-10 is Nearly Here | Hot Tips | All MO HealthNet Providers | |
| 09/01/2015 | Non-Emergency Medical Transportation Program | Hot Tips | All MO HealthNet Providers | |
| 07/30/2015 | 38-04 | Internal Classification of Diseases ICD 10th Revision | Bulletins | All MO HealthNet Providers |