The MO HealthNet Division covers the cost of hospital services including inpatient and outpatient services for MO HealthNet eligible participants. An acute inpatient service is one in which the hospital expects to provide service to the member in the hospital for a 24-hour period or longer. Outpatient hospital services are those services provided to a member not admitted by the hospital as an inpatient but is registered on the hospital records as an outpatient and receives services from the hospital.
Education & Training
Forms
Provider Manual
Resources
- Benefit Tables
- Claims & Billing
- CyberAccess
- FAQs
- Fee Schedules
- Inpatient Stay Exemption by Diagnosis Code Table
- Laboratory Program
- Outpatient Hospital Radiology Fee Schedules 2018 | 2019 | 2020 | 2021
- Outpatient Hospital Laboratory Fee Schedule 2021
- Outpatient Hospital Surgical Procedural Fee Schedule 2019
- Outpatient Hospital Simplified Fee Schedules 2021 | 2022
- Pre-Certification Criteria
- Radiology Program
- Provider Information
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 |
|---|---|---|---|---|
| 04/30/2024 | MO Medicaid Audit & Compliance New Toll-Free Number | Hot Tips | All MO HealthNet Providers | |
| 04/29/2024 | Outpatient Observation Billing | Hot Tips | Hospital | |
| 04/25/2024 | Claims Processing Schedule for Fiscal Year 2025 | Hot Tips | All MO HealthNet Providers | |
| 04/19/2024 | Hospital Dental Billing | Hot Tips | Hospital | |
| 04/19/2024 | 46-53 | Update to Medicare Crossover Claims | Bulletins | All MO HealthNet Providers |
| 04/11/2024 | 2024 Relias Continuing Education Courses | Hot Tips | All MO HealthNet Providers | |
| 04/03/2024 | Optimizing Missouri’s Managed Care Plan Benefits for Maternal and Infant Health – Cape Girardeau, April 23, 2024 | Hot Tips | All MO HealthNet Providers | |
| 04/02/2024 | 46-48 | Free Standing Birth Center Bulletin | Bulletins | All MO HealthNet Providers |
| 04/01/2024 | 2024-1 | Provider Newsletter 2nd Quarter 2024 | Newsletters | All MO HealthNet Providers |
| 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 | |
| 03/18/2024 | Group Prenatal Care FAQs | Hot Tips | Hospital | |
| 03/15/2024 | New MO Tobacco Quit Services | Hot Tips | All MO HealthNet Providers | |
| 03/13/2024 | Vaccines for CHIP Participants | Hot Tips | Hospital | |
| 03/08/2024 | Maternal Health Access Project | Hot Tips | All MO HealthNet Providers |