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 |
|---|---|---|---|---|
| 03/27/2023 | COVID-19: Radiology - Chest CT Scans | Hot Tips | All MO HealthNet Providers | |
| 03/27/2023 | COVID-19: DME: Multi-Function Ventilator | Hot Tips | All MO HealthNet Providers | |
| 03/27/2023 | COVID-19: DME: Delivery Slip Signature Requirement | Hot Tips | All MO HealthNet Providers | |
| 03/03/2023 | Bright Futures | Hot Tips | All MO HealthNet Providers | |
| 03/02/2023 | How to File a Claim with MHD as the Tertiary Payer | Hot Tips | All MO HealthNet Providers | |
| 02/27/2023 | The 2022 - 2023 Respiratory Syncytial Virus (RSV) season is winding down | Hot Tips | All MO HealthNet Providers | |
| 02/16/2023 | Participant Annual Review Date | Hot Tips | All MO HealthNet Providers | |
| 02/09/2023 | 45-37 | 2023 Healthcare Common Procedure Coding System (HCPS) | Bulletins | All MO HealthNet Providers |
| 01/26/2023 | Annual Reviews Coming: Partners & Providers: Help Spread the Word! | Hot Tips | All MO HealthNet Providers | |
| 01/23/2023 | 2023 Relias Training Schedule | Hot Tips | All MO HealthNet Providers | |
| 01/10/2023 | Provider Communications Interactive Voice Response (IVR) Update | Hot Tips | All MO HealthNet Providers | |
| 01/05/2023 | 45-35 | Non-emergency Medical Transportation | Bulletins | All MO HealthNet Providers |
| 12/29/2022 | Third Party Liability Information for Providers | Hot Tips | All MO HealthNet Providers | |
| 12/29/2022 | Care Management in Managed Care | Hot Tips | All MO HealthNet Providers | |
| 12/27/2022 | MHD Provider Training Schedule, January – March 2023 | Hot Tips | All MO HealthNet Providers |