Managed Care Contracts - Archive
Reporting Requirements – October 2022
July 2022 RFP Vendor Library
- Vendor Documents
- MO HealthNet Quality Improvement Strategy
- Additional Health Benefit Template
- Marketing Guidance
- In Lieu of Service (ILOS) Application
- Member Incentive Program Template
- State Provider Incentive Program Template
- Policies and Procedures Requiring Prior Approval
- Policy Submission Form
- MO HealthNet Acronyms
- MO HealthNet Managed Care Related Eligibility Groups, Attachment 1
- Managed Care Performance Withhold Technical Specifications
- MO MAPS – Operations Manual
- EPSDT Screening Codes and Methodology
- EPSDT Screening Codes by Line Number
- Federally Qualified Health Center and Rural Health Clinic Services
- Delivery Kick Payment Policy
- Travel Distance Standards
- Waivers Operated by the Department of Mental Health (DMH)
- Managed Care Provider Coordination with Local Public Health Agencies
- Community Mental Health Center Reimbursement
- MO HealthNet Managed Care Policy Statements
- MO HealthNet Health Risk Assessment
- MO HealthNet Quality Improvement Strategy
- NICU Payment Policy
- SMHK Member Journey Quarterly Report Template
- CM Member Journey Quarterly Report Template
- Performance Withhold
- Reporting Schedules and Templates (Examples)
- Reporting Requirements (Examples)
Managed Care Contract Approved March 21, 2021
Amendments CMS approved
- Amendment #16 (eff. 1/1/2022) – Approved 04/18/2023
- Amendment #15 (eff. 10/1/2021) - Approved 02/15/2023
- Amendment #14 (eff. 7/1/2021) – Approved 11/30/2022
Secure Exchange Solution (SES) Missouri Medical Passport Program (MMPP)
Contract Effective May 1, 2017 Documentation
- Bidder and Vendor Documents
- Reporting Schedules and Templates
- Reporting Requirements - January 2022
- Reporting Requirements - July 2022
Managed Care Contract Ending April 30, 2017 approved by CMS
Managed Care Contract Ending April 30, 2017 Amendments pending CMS approval
- No amendments pending at this time.
MO HealthNet Managed Care Contracts Awarded (Contract End Date April 30, 2017)
Contract ending April 30, 2017 Documentation
MO HealthNet Care Management Innovation and Expansion Request for Information
The summaries of the responses to the MO HealthNet Care Management Innovation and Expansion Request for Information (RFI) released September 11, 2015, with responses due by October 9, 2015. The purpose of the RFI was to allow interested parties an opportunity to provide the State of Missouri with feedback regarding issues related to improving health care quality and increasing the efficiency of health care delivery for low income custodial parents, pregnant women, and children covered by MO HealthNet Managed Care.
Missouri Medicaid to move to statewide Managed Care in 2017 updated 9/30/2016