MO HealthNet recently posted two tips for providers on immunizations and pharmacy dispensing fees.  The department's Hot Tips can be found online here.  

Immunizations

MO HealthNet providers billing vaccines for dual eligible participants shall bill Medica...

On October 1, Mo HealthNet will implement the ICD-10 changes that are effective for dates of service on or after October 1, 2017. The update includes the Clinical Modification (ICD-10-CM) diagnosis code changes and the Procedure Coding System (ICD-10-PCS) surgical proc...

Mo HealthNet released the following provider tip to clarify billing for rural health clinic laboratory and radiological services.  Provider tips are also available online here.  

Provider-based Rural Health Clinics (RHC) should not bill the MO HealthNet Division (MHD) f...

Eligibility requirements will change at the end of June for the MORx program, which pays for 50% of eligible low-income seniors' out-of-pocket costs for medications covered by Medicare Part D.  

As of June 30, MORx members only covered by Medicare will no long...

Statewide Medicaid managed care services began May 1 for non-aged, blind, and disabled patients.  If you need more information on managed care, check out Mo HealthNet's provider training presentation here.  

Mo HealthNet is also hosting sixteen webinar trainings in...

The Missouri General Assembly's 2017 Legislative Session adjourned May 12.  Of the 1,966 bills and resolutions filed, only 76 passed.  This is a very low number historically; more than 140 were approved in 2016 and 2015.  Members received MARHC's full end-of-session re...

Missouri’s Extended Women’s Health Services program covers family planning-related services, pregnancy testing, and sexually transmitted disease testing and treatment for uninsured women ages 18 to 55 under 201% FPL.  The Medicaid Eligibility (ME) code is 80/89.

La...

Mo HealthNet recently published a proposed rule expanding the conditions that make patients eligible for Primary Care Health Homes. 

The proposed rule adds obesity and childhood uncontrolled asthma as standalone conditions that qualify Medicaid patients for P...

ICD-10 went live October 1, 2015.  CMS gave providers a one-year grace period for ICD-10 coded claims, saying they would not deny claims as long as providers used codes in the correct "family" for the treatment. 

This period of flexibility ends October 1, 2016...

During the September 14 Veto Session, the Legislature overrode Governor Nixon's veto of Senate Bill 608.  Among other provisions, this bill allows providers to charge Medicaid patients fees for missed appointments.  The fees would range from $5 to $20 depending on...

Please reload

Recent Posts
Please reload

Archive
Search By Tags
Please reload