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 |
|---|---|---|---|---|
| 07/06/2015 | Claims Processing and Payment Schedule for Fiscal Year 2016 | Hot Tips | All MO HealthNet Providers | |
| 06/29/2015 | 37-29 | Participants Annual Review Date | Bulletins | All MO HealthNet Providers |
| 05/26/2015 | Missouri Medicaid Audit and Compliance Screening Requirements | Hot Tips | All MO HealthNet Providers | |
| 05/18/2015 | Missouri Medicaid Audit and Compliance Enrollment or Revalidation Process | Hot Tips | All MO HealthNet Providers | |
| 05/15/2015 | 37-21 | National Correct Coding Initiative | Bulletins | All MO HealthNet Providers |
| 05/11/2015 | Provider Address Changes | Hot Tips | All MO HealthNet Providers | |
| 04/27/2015 | Missouri Medicaid Audit and Compliance | Hot Tips | All MO HealthNet Providers | |
| 03/02/2015 | Securing and Protection of Health Information | Hot Tips | All MO HealthNet Providers | |
| 02/25/2015 | 37-13 | 2015 Healthcare Common Procedure Coding System | Bulletins | All MO HealthNet Providers |
| 02/02/2015 | Influenza Vaccines Updates for Vaccines for Children | Hot Tips | All MO HealthNet Providers | |
| 01/26/2015 | Additional Services Available through the MO Tobacco Quitline | Hot Tips | All MO HealthNet Providers | |
| 01/20/2015 | Provider Manuals | Hot Tips | All MO HealthNet Providers | |
| 01/05/2015 | Non-Emergency Medical Transportation | Hot Tips | All MO HealthNet Providers | |
| 12/29/2014 | Give Us Your Suggestions! | Hot Tips | All MO HealthNet Providers | |
| 12/22/2014 | Participant Eligibility Training Tool | Hot Tips | All MO HealthNet Providers |