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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

2024

04.29.2024 - SUD & SMI 1115 Demonstration Waiver Post-Award Forum Public Notice

2022

06.10.2022 - Public Notice regarding the 1115 waiver demonstration application seeking authority to reimburse for medically necessary residential substance use disorder (SUD) services furnished in facilities that qualify as an institution for mental disease (IMD)
06.10.2022 - Public Notice regarding the 1115 waiver demonstration application seeking authority to reimburse for medically necessary residential substance use disorder (SUD) services furnished in facilities that qualify as an institution for mental disease (IMD)
06.22.2022 - Public Notice regarding reimbursement for acute inpatient stays institutions for mental disease (IMD) for Medicaid enrollees ages 21-64 diagnosed with a serious mental illness (SMI).

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