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 |
|---|---|---|---|---|
| 03/29/2024 | Provider Training Schedule Posted, April – June 2024 | Hot Tips | All MO HealthNet Providers | |
| 03/29/2024 | An Easier Way to Manage Non-Emergency Medical Transportation Rides | Hot Tips | All MO HealthNet Providers | |
| 03/15/2024 | New MO Tobacco Quit Services | Hot Tips | All MO HealthNet Providers | |
| 03/08/2024 | Maternal Health Access Project | Hot Tips | All MO HealthNet Providers | |
| 03/01/2024 | 46-46 | Change Healthcare | Bulletins | All MO HealthNet Providers |
| 02/26/2024 | Optimizing Missouri’s Managed Care Plan Benefits for Maternal and Infant Health | Hot Tips | All MO HealthNet Providers | |
| 02/20/2024 | 46-43 | 2024 HCPCs | Bulletins | All MO HealthNet Providers |
| 02/01/2024 | Telemedicine Billing Resource | Hot Tips | All MO HealthNet Providers | |
| 01/30/2024 | Master Plan on Aging – Upcoming Town Halls | Hot Tips | All MO HealthNet Providers | |
| 01/25/2024 | General Provider Resource | Hot Tips | All MO HealthNet Providers | |
| 01/25/2024 | 46-39 | Provider 1099 Forms | Bulletins | All MO HealthNet Providers |
| 12/28/2023 | Prior Authorization for Your Patient’s Medications | Hot Tips | All MO HealthNet Providers | |
| 12/20/2023 | New Missouri Tobacco Quitline Services in 2024 | Hot Tips | All MO HealthNet Providers | |
| 12/20/2023 | MO HealthNet making the following changes to the Preferred Drug Listing for Insulin Agents | Hot Tips | All MO HealthNet Providers | |
| 11/20/2023 | Payment Error Rate Measurement (PERM) Audit | Hot Tips | All MO HealthNet Providers |