MO HealthNet Provider Hot Tips

The MO HealthNet Division provides hot tips to providers to assist them in receiving timely reimbursement for services provided. Please share these hot tips with your billing staff.

2017 MO HealthNet Managed Care Webinar Training

February 17, 2017

The MO HealthNet Division (MHD) Provider Education staff will be conducting additional webinar trainings regarding the expansion of state-wide Managed Care, effective May 1, 2017.  Currently, there are four webinars scheduled for February 22 and 28, 2017, and March 9 and 30, 2017, from 9:00 AM to 11:00 AM.

All MO HealthNet Provider Training schedules can be found on the Provider Page under the Education heading. Then click on Training Information.  Scheduled trainings and enrollment information is posted on this page.

Please contact Provider Education staff at [email protected]  (preferred method) or (573) 751-6963 with any questions or training needs.

Hot Tips will be published notifying providers of future trainings.

Providers should continue to view this page for updates.

Updated 1st Quarter Webinar Trainings

February 14, 2017

The MO HealthNet Webinar Training Conference schedule for the 1st Quarter has been updated. We will not offer training for the following programs during the 1st quarter: Local Public Health Agency, Outpatient Hospital, Medical Clinics and Physicians, Inpatient Hospital, Rural Health Clinic Independent, and Rural Health Clinic Provider-Based. The above programs will be included in the 2nd quarter webinar schedule that will be posted in early March 2017.

Please access the 1st Quarter 2017 Webinar Trainings  to register.

Please contact the Provider Education Unit at [email protected]  (preferred method) or (573)751-6963 with any questions or training needs. 

2017 MO HealthNet Training Workshops

February 14, 2017

The MO HealthNet Division (MHD) Provider Education staff conducts yearly general program workshops. Instructions on how to register are outlined on the workshop schedule.

If a provider has registered for a workshop and cannot attend for any reason, contact MHD Provider Education Unit to cancel the registration. The Provider Education staff may be contacted by phone at (573)-751-6963, or by email at [email protected].

Dental Billing — Adult Dental Codes

Dental Examination:

X-rays

The following codes are covered for adults:

Sedation

Note:  May use Propofol, but only at the Moderate level of sedation.

Adults: Medical Necessity Patients

Note: You must have adequate documentation of the patient’s Medical Necessity and have a physician’s referral in the participant’s file.

Patients 0-21years

Common Errors

Adults and Patients 0-21 years

Prior-authorization

Note: Please submit periodontal charting for the above codes or any periodontal procedure codes

Important Billing Reminders

Adequate Documentation

Section 2.3.A of the Dental Provider Manual

13 CSR 70-3.030, Section (2)(A) defines “adequate documentation” and “adequate medical records” as follows: