MO HealthNet Division Provider Bulletins

The MO HealthNet Program publishes provider bulletins as necessary to clarify existing program and policy or explain new policy. Bulletins are posted at this location and will remain here until they are incorporated into the provider manuals as appropriate. At that time, the bulletins will be moved to the Archives.

Archived Bulletins

Issue Date Provider Bulletin Description
Aug 22, 2014 Home and Community Based Services: Vol. 37, No. 05
Jul 08, 2014 Non-Payment of State Children’s Health Insurance Premium : Vol. 37, No. 03
Jul 01, 2014 Adult Day Care Waiver, Aged and Disabled Waiver, Aids Waiver, Independent Living Waiver, Medically Fragile Adult Waiver, Personal Care and Private Duty Nursing : Vol. 37, No. 02
Jul 01, 2014 Ambulance Bulletin : Vol. 37, No. 01
Jun 30, 2014 Children Not in Foster Care – Behavioral Health Services Program Prior Authorization Closing Date: Vol. 36, No. 30
Jun 23, 2014 Home and Community Based Services: Vol. 36, No. 34
Jun 23, 2014 Comprehensive Waiver: Community Transition: Vol. 36, No. 32
Jun 19, 2014 ICD-10 Delay in Implementation Date: Vol. 36, No. 33
Jun 12, 2014 Physician Bulletin: Vol. 36, No. 31
Jun 02, 2014 Developmental Disabilities Waivers: Vol. 36, No. 29
May 02, 2014 Home and Community Based Services (HCBS) Rate Increase for Providers Billing Participant Reassessments : Vol. 36, No. 25
May 02, 2014 Addition of Financial Management Services in the Independent Living Waiver: Vol. 36, No. 26
May 01, 2014 Nursing Home Bulletin: Vol. 36, No. 27
Apr 30, 2014 Outpatient Hospital Radiology Fee Schedule: Vol. 36, No. 28
Apr 30, 2014 Durable Medical Equipment: Vol. 36, No. 18
Apr 08, 2014 MO HealthNet Primary Care Health Home Initiative: Vol. 36, No. 24
Mar 26, 2014 Dental Bulletin: Vol. 36, No. 22
Mar 13, 2014 Invasive Ventilator Program: Vol. 36, No. 17
Mar 10, 2014 School Based Services: Vol. 36, No. 23
Feb 03, 2014 Physician Bulletin: Vol. 36, No. 21
Vaccines for Children
Jan 27, 2014 2014 Healthcare Common Procedure Coding System : Vol. 36, No. 20
Jan 15, 2014 CMS-1500 (02-12) Health Insurance Claim Form: Vol. 36, No. 19
Dec 27, 2013 Hospice Rate Change: Vol. 36, No. 08
Dec 17, 2013 National Correct Coding Initiative: Vol. 36, No. 16
Dec 09, 2013 Children in Foster Care Behavioral Health Prior Authorization Closing Date: Vol. 36, No. 14
Dec 09, 2013 Adult Behavioral Health Services Prior Authorization Close Date: Vol. 36, No. 13
Nov 26, 2013 Provider Certification Training Test Update: Vol. 36, No. 15
Oct 30, 2013 CORE Phase III System Enhancements: Vol. 36, No. 11
Oct 16, 2013 ICD-10 Status Update: Vol. 36, No. 10
Oct 08, 2013 Durable Medical Equipment: Vol. 36, No. 06
Oct 08, 2013 Hospital, Birthing Center, Ambulatory Surgical Center, Physician, and Nurse Midwife Bulletin: Vol. 36, No. 05
Oct 08, 2013 Extended Coverage for Independent Foster Care Adolescents: Vol. 36, No. 04
Oct 03, 2013 Missouri Community Options & Resources (MOCOR): Vol. 36, No. 07
Oct 01, 2013 Adult Day Care Waiver, Aged And Disabled Waiver, Aids Waiver, Independent Living Waiver, Medically Fragile Adult Waiver, Personal Care and Private Duty Nursing: Vol. 36, No. 09
Sep 13, 2013 Physician Bulletin: Vol. 36, No. 02
Physician Assistant
Sep 12, 2013 Physician Bulletin: Vol. 36, No. 03
Vaccines for Children
Aug 28, 2013 Ambulance Bulletin: Vol. 36, No. 01
Jul 01, 2013 Children Not in Foster Care—Behavioral Health Services Program Prior Authorization Closing Date: Vol. 35, No. 33
May 20, 2013 Drug Screens: Vol. 35, No. 32
Physicians, Clinics, RHCs, FQHCs and Independent Laboratories
May 16, 2013 Durable Medical Equipment: Vol. 35, No. 21
May 07, 2013 Physician Primary Care Rate Increase for Certain Services: Vol. 35, No. 31
Apr 15, 2013 Behavioral Health Services Bulletin: Vol. 35, No. 29
Apr 08, 2013 Adult Day Health Care Services, Adult Day Care Waiver Services: Vol. 35, No. 26
Mar 21, 2013 Women’s Health Services Program: Vol. 35, No. 24
Mar 11, 2013 Outpatient Radiology Fee Schedule: Vol. 35, No. 28
Mar 04, 2013 MO HealthNet EHR Incentive Program to Begin Post Payment Audits: Vol. 35, No. 25
Mar 04, 2013 Personal Needs Allowance Increase: Vol. 35, No. 23
Feb 27, 2013 FSD Announces Spend Down Units to Review and Enter Spend Down Charges: Vol. 35, No. 19
Feb 14, 2013 HIPAA and CORE Phase I and II System Enhancements: Vol. 35, No. 20
Feb 04, 2013 Inpatient Hospital Bulletin: Vol. 35, No. 18
Jan 22, 2013 HHS Issues Letter to Providers on Disclosures to Avert Threats to Health or Safety: Vol. 35, No. 22
Jan 17, 2013 Recovery Audit Contractor Update: Vol. 35, No. 16
Jan 15, 2013 2013 Healthcare Common Procedure Coding System: Vol. 35, No. 17
Dec 20, 2012 Physician Primary Care Rate Increase for Certain Services: Vol. 35, No. 15
Dec 20, 2012 2013 Behavioral Health Services CPT Code Changes: Vol. 35, No. 14
Dec 03, 2012 Personal Care Program: Vol. 35, No. 13
Nov 15, 2012 Physician Primary Care Rate Increase for Certain Services: Vol. 35, No. 08
Nov 06, 2012 Radiology Bulletin: Vol. 35, No. 10
Oct 17, 2012 Hospice Rate Change: Vol. 35, No. 09
Sep 26, 2012 Wheelchair Armrest (E0973): Vol. 35, No. 07
Aug 29, 2012 Healthy Children and Youth (HCY) Screenings : Vol. 35, No. 02
Aug 29, 2012 Coverage of Oncotype DX: Vol. 35, No. 06
Aug 06, 2012 Women’s Health Services Program: Vol. 35, No. 04
Jul 31, 2012 Physician Primary Care Rate Increase for Certain Services: Vol. 35, No. 03
Jun 05, 2012 Community Psychiatric Rehabilitation Program Services to MO HealthNet Eligible Deaf Persons: Vol. 34, No. 30
May 31, 2012 Health Care-Acquired Conditions Inpatient Hospital Bulletin: Vol. 34, No. 29
Apr 23, 2012 Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents: Vol. 34, No. 27
Mar 12, 2012 Strong Start for Mothers and Newborns: Vol. 34, No. 26
Mar 12, 2012 Certified Manager Training: Vol. 34, No. 24
Feb 15, 2012 Provider Screening: Vol. 34, No. 22
Jan 19, 2012 2012 Health Care Procedure Coding System: Vol. 34, No. 20
Jan 13, 2012 Nursing Home Bulletin: Vol. 34, No. 18
Jan 09, 2012 Durable Medical Equipment: Vol. 34, No. 19
Dec 12, 2011 X12 v5010 and NCPDP vD.0 Implementation: Vol. 34, No. 17
Nov 16, 2011 Rescinded: HIPAA 2 Implementation of X12 v5010 and NCPDP vD.0: Vol. 34, No. 15
Oct 28, 2011 Hospital – Outpatient Radiology Revised: Vol. 34, No. 12
Oct 25, 2011 Personal Care and Private Duty Nursing School Based Services Bulletin: Vol. 34, No. 08
Oct 24, 2011 Non-Emergency Medical Transportation Bulletin: Vol. 34, No. 10
Oct 06, 2011 Level Two Testing for X12 Version 5010 Transactions: Vol. 34, No. 09
Oct 03, 2011 Hospice Rates: Vol. 34, No. 07
Sep 22, 2011 Rescinded and Archived: Hospital – Outpatient Radiology: Vol. 34, No. 03
Sep 19, 2011 Federal Fiscal Year 2012 ICD-9-CM Diagnosis Code Changes: Vol. 34, No. 05
Effective October 1, 2011
Sep 19, 2011 Federal Fiscal Year 2012 ICD-9-CM Inpatient Hospital Procedure Code Changes: Vol. 34, No. 04
Effective October 1, 2011
Jul 27, 2011 Adult Day Health Care, Aged and Disabled Waiver, Aids Waiver, Independent Living Waiver, Personal Care, Physical Disabilities Waiver and Private Duty Nursing: Vol. 34, No. 02
Jul 05, 2011 Affordable Care Act Section 2703 — MO HealthNet Primary Care Health Home Initiative : Vol. 34, No. 01
Jun 20, 2011 Loss of Medical or Billing Records due to Natural Disaster: Vol. 33, No. 45
Jun 14, 2011 Third Party Assessor: Vol. 33, No. 42
Jun 13, 2011 rescinded, see Vol. 34, No. 01 Affordable Care Act Section 2703 - MO HealthNet Primary Care Health Home Initiative: Vol. 33, No. 44
May 24, 2011 Limited eMOMED Functionality June 4-19, 2011: Vol. 33, No. 41
May 13, 2011 Implementation of X12 Version 5010 Transactions: Vol. 33, No. 40
Apr 04, 2011 MO HealthNet Electronic Health Record Incentive Program Bulletin: Vol. 33, No. 38
Mar 28, 2011 Observation Care Bulletin: Vol. 33, No. 33
Mar 28, 2011 SDAC Bulletin: Vol. 33, No. 37
Feb 28, 2011 Physician Bulletin: Vol. 33, No. 36
Feb 08, 2011 Hospital Bulletin: Vol. 33, No. 35
Feb 08, 2011 Adverse Events Bulletin: Vol. 33, No. 34
Feb 08, 2011 Radiology Bulletin: Vol. 33, No. 32
Jan 27, 2011 2011 Health Care Procedure Coding System (HCPCS): Vol. 33, No. 31
Jan 24, 2011 Preventive Services Bulletin: Vol. 33, No. 30
Dec 28, 2010 Physicians, Nurse Practitioners, Nurse Midwife, Psychiatric Clinical Nurse Specialists, Psychiatric Mental Health Nurse Practitioners, Psychologists, Provisionally Licensed Psychologists, Licensed Clinical Social Workers, Licensed Masters Social Workers, Licensed Professional Counselors, and Provisionally Licensed Counselors: Vol. 33, No. 23
Dec 07, 2010 School District Administrative Claiming/Non-Emergency Medical Transportation School District Bulletin: Vol. 33, No. 27
Dec 07, 2010 School Distric Administrative Claiming Bulletin: Vol. 33, No. 25
Nov 30, 2010 Personal Care School Based Services Bulletin: Vol. 33, No. 24
Nov 30, 2010 Hearing Aid School Based Services Bulletin: Vol. 33, No. 21
Nov 30, 2010 Occupational, Physical and Speech Therapy School Based Services: Vol. 33, No. 14
Nov 30, 2010 Private Duty Nursing School Based Services: Vol. 33, No. 13
Nov 01, 2010 Implementation of Revised Policies Related to Audit Look–Back Period and Provider Response Time for Documentation Requests: Vol. 33, No. 22
Oct 18, 2010 Home Health: Vol. 33, No. 19
Oct 4, 2010 Hospice: Vol. 33, No. 10
Sep 29, 2010 MO HealthNet Reimbursement of Outpatient Hospital Medicare Crossover Claims: Vol. 33, No. 18
Sep 29, 2010 Physician, Rehabilitation Centers, Podiatry, Physical Therapy, Occupational Therapy, Non-physician Programs: Vol. 33, No. 17
Sep 29, 2010 Concurrent Care for Children in Hospice: Vol. 33, No. 15
Sep 29, 2010 Physician and Optical Bulletin: Vol. 33, No. 08
Sep 20, 2010 Federal Fiscal Year 2011 (FFY11) ICD-9-CM Inpatient Hospital Procedure Code Changes : Vol. 33, No. 12
Effective October 1, 2010
Sep 20, 2010 Federal Fiscal Year 2011 (FFY11) ICD-9-CM Diagnosis Code Changes: Vol. 33, No. 11
Effective October 1, 2010
Sep 01, 2010 MO HealthNet Billing Web Site: Vol. 33, No. 05
Aug 31, 2010 Non-Emergency Medical Transportation Bulletin: Vol. 33, No. 06
Aug 24, 2010 School Based Services Bulletin: Vol. 33, No. 07
Aug 02, 2010 Elimination of MO HealthNet Provider Paper Reimbursement Checks: Vol. 33, No. 04
Aug 02, 2010 Eliminations of Provider Paper Remittance Advices: Vol. 33, No. 03
Jul 15, 2010 Inpatient Certification: Vol. 33, No. 01
Jun 24, 2010 Adult Day Health Care, Aged and Disabled Waiver, AIDS Waiver, Home Health, Independent Living Waiver, Personal Care, Physical Disabilities Waiver and Private Duty Nursing: Vol. 32, No. 44
Jun 18, 2010 Physician Bulletin: Vol. 32, No. 42
May 19, 2010 Healthy Children and Youth (HCY) Bulletin: Vol. 32, No. 40
Apr 22, 2010 Physician Program: Vol. 32, No. 39
Vaccine for Children (VFC)
Mar 24, 2010 School Distric Administrative Claiming: Vol. 32, No. 37
Mar 17, 2010 MO HealthNet Reimbursement of Medicare Crossover Claims for Skilled Nursing Facility Benefits: Vol. 32, No. 36
Feb 05, 2010 Physician Program Fee Update : Vol. 32, No. 28
Dec 31, 2009 2010 Health Care Procedure Coding System : Vol. 32, No. 25
Dec 22, 2009 Inpatient Certification: Vol. 32, No. 24
Dec 10, 2009 Physician Fee Updates: Vol. 32, No. 22
Nov 25, 2009 National Provider Identifier Update: Vol. 32, No. 21
Oct 27, 2009 Physician Bulletin: Vol. 32, No. 19
Oct 15, 2009 Hospital Bulletin: Vol. 32, No. 17
Oct 15, 2009 Adult Day Health Care, Aged & Disabled Waiver, Independent Living Waiver & Personal Care: Vol. 32, No. 14
Oct 14, 2009 Mailing Address Change—Inpatient Hospital Claim Forms: Vol. 32, No. 18
Oct 06, 2009 FFY 2010 ICD-9-CM Inpatient Hospital Procedure Code Changes Effective October 1, 2009: Vol. 32, No. 16
Oct 06, 2009 FFY 2010 ICD-9-CM Diagnosis Code Changes Effective October 1, 2009: Volume 32 No. 15
Oct 01, 2009 Hospice Bulletin: Vol. 32, No. 13
Aug 13, 2009 Provider Bulletin: Vol. 32, No. 04
Aug 07, 2009 Telehealth Bulletin: Vol. 32, No. 08
Jul 27, 2009 Private Duty Nursing: Vol. 32, No. 07
Jul 15, 2009 Rural Health Clinics and Federally Qualified Health Centers: Vol. 32, No. 02
Jul 15, 2009 Physicians and Advanced Registered Nurse Practitioners: Vol. 32, No. 01
Jul 01, 2009 Hospice Bulletin: Vol. 31, No. 62
Jun 23, 2009 Claim Confirmation / Error Report: Vol. 31, No. 61
Jun 16, 2009 Implementation of HIPAA Software Upgrade: Vol. 31, No. 60
Apr 14, 2009 HIPAA Compliancy Standards Bulletin: Vol. 31, No. 57 Corrected 5/27/09
Mar 06, 2009 Provider E-mail Inquiries: Vol. 31, No. 56
Mar 03, 2009 Health and Wellness Program Bulletin: Vol. 31, No. 55
Feb 24, 2009 Physician Bulletin: Vol. 31, No. 54
Psychiatrist, Psychiatric Clinical Nurse Specialists (PCNS), Psychiatric Mental Health Nurse Practitioners (PMHNP)
Feb 20, 2009 Comprehensive Day Rehabilitation Bulletin: Vol. 31, No. 53
Feb 09, 2009 Physician Bulletin: Vol. 31, No. 44
Women’s Health Coverage
Feb 05, 2009 Healthy Children & Youth (HCY) Bulletin: Vol. 31, No. 49
Jan 30, 2009 2009 Health Care Procedure Coding System (HCPCS): Vol. 31, No. 46
Jan 13, 2009 Ambulatory Surgical Center (ASC) Bulletin: Vol. 31, No. 40
Nov 19, 2008 Health and Wellness: Vol. 31, No. 21
Nov 14, 2008 UB-04 (CMS-1450) Claim Form Revisions Bulletin: Vol. 31, No. 31
Nov 03, 2008 Hospice Bulletin: Vol. 31, No. 29
Oct 31, 2008 Physician Bulletin: Vol. 31, No. 25
Mental Health Nurse Practitioner Specialty
Oct 07, 2008 Mercy CarePlus Name Change: Vol. 31, No. 22
Oct 01, 2008 Physician Bulletin: Vol. 31, No. 12
Radiology
Sep 17, 2008 CMS-1500 (08-05) Health Insurance Claim Form: Vol. 31, No. 07
Jun 30, 2008 Adult Day Health Care, Aged & Disabled Waiver, Aids Waiver, Home Health, Independent Living Waiver, Personal Care, Physical Disabilities Waiver And Private Duty Nursing Bulletin: Vol. 30, No. 71
Jun 19, 2008 MO Healthnet Provider Manuals Bulletin: Vol. 30, No. 65
Jun 12, 2008 Paper Claim Attachments and Prior Authorization/Taxonomy Codes Bulletin: Vol. 30, No. 66
Jun 04, 2008 ASC X12N Electronic Files - Control Numbers Bulletin: Vol. 30, No. 63
May 22, 2008 National Drug Code Requirement: Vol. 30, No. 60
May 05, 2008 NPI Bulletin Clarification: Vol. 30, No. 57
May 05, 2008 MO HealthNet Cost Sharing For Medicare Part C/Medicare Advantage Plans Bulletin: Vol. 30, No. 53
May 01, 2008 National Provider Identifier Bulletin: Vol. 30, No. 51
Feb 29, 2008 National Provider Identifier Bulletin: Vol. 30, No. 47
Feb 20, 2008 National Drug Code Requirement Clarification: Vol. 30, No. 42
Feb 20, 2008 Physician, Podiatrist, And Durable Medical Equipment Bulletin: Vol. 30, No. 41
Jan 08, 2008 Outpatient Hospital, Provider-Based RHC, and FQHC Bulletin: Vol. 30, No. 29
National Drug Code Requirement
Dec 19, 2007 Pharmacy Bulletin: Vol. 30, No. 32
Dec 10, 2007 MO HealthNet Policy for Medicare Part C/Medicare Advantage Plans : Vol. 30, No. 28
Nov 28, 2007 Money Follows The Person Demonstration Bulletin: Vol. 30, No. 22
Oct 10, 2007 Physician Bulletin: Vol. 30, No. 15
Hospital, Rural Health Clinic (Independent And Provider-Based), Hospice And Home Health, UB-04 (CMS-1450) Claim Form
Sep 07, 2007 Ticket To Work Health Assurance (TWHA) Program Bulletin: Vol. 30, No. 09
Apr 23, 2007 Healthy Children & Youth (HCY) Bulletin: Vol. 29, No. 48
Physician, Nurse Practioners, Nurse Midwives, Federally Qualified Health Centers, And Rural Health Clinics
Mar 20, 2007 Provider Bulletin: Vol. 29, No. 40
Retrieval And Resubmitting Claims On eMomed
Jan 16, 2007 Chronic Care Improvement Bulletin: Vol. 29, No. 22
Oct 06, 2006 Federally Qualified Health Center And Rural Health Clinic Core Services-Psychology Bulletin: Vol. 29, No. 15
Aug 21, 2006 Crossover Claim Editing Bulletin: Vol. 29, No. 08
Jul 10, 2006 Electronic Invoice Of Cost Bulletin: Vol. 29, No. 02
Jul 03, 2006 Adult Day Health Care, Aged & Disabled Waiver, Aids Waiver, Home Health, Independent Living Waiver, Personal Care, Physical Disabilities Waiver And Private Duty Nursing Bulletin: Vol. 28, No. 55
May 02, 2006 Aged And Disabled Waiver Bulletin: Vol. 28, No. 48