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 |
---|---|---|---|---|
11/15/2023 | It's almost time for HealthHelp's Provider Satisfaction Survey. | Hot Tips | All MO HealthNet Providers | |
11/14/2023 | 2023 Great American SmokeOut | Hot Tips | All MO HealthNet Providers | |
10/13/2023 | Optimizing MO's Managed Care Plan Benefits for Maternal and Infant Health November 13, 2023 | Hot Tips | All MO HealthNet Providers | |
10/10/2023 | 46-20 | ICD-10 Annual Updates | Bulletins | All MO HealthNet Providers |
09/19/2023 | Upcoming Relias Webinars | Hot Tips | All MO HealthNet Providers | |
09/01/2023 | New Provider Manual for All MO HealthNet Providers | Hot Tips | All MO HealthNet Providers | |
08/25/2023 | 46-13 | Provider Inquiries | Bulletins | All MO HealthNet Providers |
08/18/2023 | Maternal and Infant Health Engagement Survey for MO HealthNet Providers | Hot Tips | All MO HealthNet Providers | |
07/21/2023 | 46-06 | Covid-19 Vaccine Administration Procedures | Bulletins | All MO HealthNet Providers |
07/21/2023 | Preventive health care services are covered for adults and children who have MO HealthNet benefits | Hot Tips | All MO HealthNet Providers | |
07/07/2023 | Automatic Refill FAQs | Hot Tips | All MO HealthNet Providers | |
07/06/2023 | Provider Forms | Hot Tips | All MO HealthNet Providers | |
06/22/2023 | Youth Suicide Prevention Provider Resources | Hot Tips | All MO HealthNet Providers | |
06/05/2023 | Missouri Perinatal Quality Collaborative Provider Training Opportunities | Hot Tips | All MO HealthNet Providers | |
06/05/2023 | It's almost time for HealthHelp's Provider Satisfaction Survey | Hot Tips | All MO HealthNet Providers |