- Welcome
Welcome to MO HealthNet! MO HealthNet is Missouri’s Medicaid program. For information about eligibility, visit: mydss.mo.gov/healthcare/apply.
Enrollment materials are available in alternative formats and communication modes.
Hay información en español. ¡Servicios interpretativos gratis! Llame al 800-348-6627 (TTY/TTD:711).
- What kind of MO HealthNet Coverage do I have?
MO HealthNet offers healthcare coverage through either a Managed Care health plan or the Fee-For-Service Program. Which program you get your services through depends on your age and eligibility. If you are not sure which program you have, you can find more information about your coverage on the FSD Benefit Portal: my.mo.gov/fsdbenefits.
Fee-For-Service (FFS):
You will get your MO HealthNet coverage through the Fee-For-Service program if you are a:
- Person with a disability
- Senior (age 65 or older)
- Blind or visually impaired adult
- Woman (under age 65) with breast or cervical cancer
Managed Care:
You will get your MO HealthNet coverage through one of the Managed Care Health Plans: Healthy Blue, United Healthcare, or Home State Health if you are a:
- Parent or guardian with a child under age 19 in the home
- Child (birth through age 18
- Adult age 19-64 without a disability
- Pregnant woman (including your newborn child)
To learn more about the program, review the MO HealthNet Managed Care Guide.
- What is FFS?
Fee-For-Service (FFS) is sometimes referred to as “straight Medicaid”.
This FFS Guide explains the program, your covered services, your responsibilities, and more. Please read this guide carefully.
- How does Fee-For-Service work?
The MO HealthNet Division pays providers directly for services such as office visits, tests, or procedures. Providers can be doctors, dentists, and other healthcare professionals.
- What can I expect?
Applications and renewals are handled by the Family Support Division (FSD). After you are approved for healthcare coverage, you will receive your MO HealthNet ID card in the mail. You must show your MO HealthNet card each time you get services. If you do not show your card, you may be responsible for payment.
For replacement cards and more information, visit mydss.mo.gov/request-new-card.
- What if I have other insurance?
If you have MO HealthNet and private insurance, your private insurance will be billed first for any claims, and MO HealthNet will be billed second. If you have a change and gain private insurance, or if you no longer have private insurance, you need to report the change in one of these ways:
- Online: Report a change online at: mydss.mo.gov
- Phone: Call FSD at: 855-373-4636
- In Person: Visit a local FSD Resource Center (Find an office: dss.mo.gov/dss_map)
- Medicare and MO HealthNet
If you have Medicare, your MO HealthNet coverage will be a secondary insurance. This means MO HealthNet will pay the coinsurance and deductibles for Medicare covered services if you have Medicare Part A and B. The different Medicare plans are explained in the Medicare Savings Program section of this Guide.
- Contact Us
If you have questions about your healthcare coverage, need help finding a doctor, or need more information, you can contact us in the following ways:
- Online: Visit mydss.mo.gov to learn more, apply, check status, or report a change
- Chat Online: Visit mydss.mo.gov and select "DSS Chat"
- Email: Once approved for MO HealthNet coverage email Ask.MHD@dss.mo.gov
- Phone: Call Constituent Services at (800) 392-2161. Have your MO HealthNet card ready
- In Person: Visit a local FSD Resource Center (Find an office: dss.mo.gov/dss_map)
- Accessibility
If you are deaf, hard-of-hearing, deaf-blind, or have difficulty speaking, call Relay Missouri at 800-735-2466 (Voice) or 800-735-2966 (Text Phone).
- Interpreter Services
ATTENTION: If you do not speak English, you can get language translation services at no cost. Call 800-392-2161.
Spanish:
ATENCIÓN: Si no habla inglés, puede obtener servicios de traducción sin costo. Llame al 800-392-2161.
Chinese:
注意：如果您不会说英语，您可以免费获得语言翻译服务。请致电 800-392-2161。
Vietnamese:
LƯU Ý: Nếu bạn không nói được tiếng Anh, bạn có thể nhận dịch vụ phiên dịch miễn phí. Gọi 800-392-2161.
Croatian:
PAŽNJA: Ako govorite ili ne govorite engleski, možete dobiti besplatne usluge prevođenja. Nazovite 800-392-2161.
Serbian:
ПАЖЊА: Ако говорите или не говорите енглески, можете добити услуге превођења бесплатно. Позовите 800-392-2161.
German:
ACHTUNG: Wenn Sie kein Englisch sprechen, können Sie einen kostenlosen Übersetzungsdienst in Anspruch nehmen. Rufen Sie 800-392-2161 an.
Arabic:
تنبيه: إذا كنت لا تتحدث الإنجليزية، يمكنك الحصول على خدمات الترجمة اللغوية مجانًا. اتصل على 800-392-2161.
Korean:
주의: 영어를 구사하지 못하시는 경우, 무료 언어 번역 서비스를 받으실 수 있습니다. 800-392-2161로 전화하세요.
Russian:
ВНИМАНИЕ: Если вы не говорите по-английски, вы можете воспользоваться бесплатными услугами перевода. Позвоните по телефону 800-392-2161.
French:
ATTENTION : Si vous ne parlez pas anglais, vous pouvez bénéficier de services de traduction gratuits. Appelez le 800-392-2161.
Filipino / Tagalog:
PAUNAWA: Kung nagsasalita ka ay hindi nagsasalita ng Ingles, maaari kang makakuha ng mga serbisyo sa pagsasalin ng wika nang walang bayad. Tumawag sa 800-392-2161.
Dutch:
LET OP: Als u geen Engels spreekt, kunt u gratis gebruikmaken van onze vertaaldiensten. Bel 800-392-2161.
Persian / Farsi:
توجه: اگر به زبان انگلیسی صحبت میکنید، میتوانید خدمات ترجمه زبان را به صورت رایگان دریافت کنید. با شماره ۸۰۰-۳۹۲-۲۱۶۱ تماس بگیرید.
Oromo:
XIYYEEFFANNOO: Afaan Ingiliffaa hin dubbattu taanaan tajaajila hiikkaa afaanii baasii tokko malee argachuu dandeessa. 800-392-2161 bilbili.
Portuguese:
ATENÇÃO: Se não fala inglês, pode obter serviços de tradução gratuitos. Ligue para 800-392-2161.
Amharic:
ትኩረት፡ እንግሊዘኛ የማይናገሩ ከሆነ ያለምንም ወጪ የቋንቋ ትርጉም አገልግሎቶችን ማግኘት ይችላሉ። 800-392-2161 ይደውሉ።
- Missouri Medicaid (MO HealthNet)
Missouri Medicaid (MO HealthNet) Contacts Phone Number MO HealthNet Case Information 800-348-6627 Third Party Liability Unit 573-751-2005 MO HealthNet Division 573-751-6944 To apply for MO Medicaid 855-373-9994 - Family Support Division (FSD)
Family Support Division (FSD) Contacts Phone Number FSD Information Center 855-373-4636 Food Stamp/Temporary Assistance (TA) Case Information 800-392-1261 Food Stamp/TA Child Care Interviews 855-823-4908 Rehabilitation Services for the Blind 800-592-6004 Supplemental Aid to the Blind 866-877-8155 - Useful Contacts
Useful Contacts Phone Number Office of Child Advocate 866-457-2302 State Technical Assistance Team 800-487-1626 DSS Text Telephone 800-735-2966 DSS TTD Voice Access 800-735-2466 Translation Services 800-348-6627 Department of Mental Health 800-364-9687 Senior Medicare Patrol 888-515-6565 ParentLink WarmLine 800-522-8522 Division of Developmental Disabilities 800-207-9329 Department of Health & Senior Services 573-751-6400 Special Health Care Needs 573-751-6246 Missouri Care Options 866-835-3505 Tel-Link (Pregnant Women & Children) 800-835-5465 Division of Vocational Rehabilitation 877-222-8963 Community Leaders Assisting the Insured of Missouri 800-390-3330 Child Support Call Center 866-313-9960 - Report a Concern Contacts
Report a Concern Contacts Phone Number Child Abuse/Neglect Hotline 800-392-3738 Adult Abuse & Neglect Hotline 800-392-0210 MO School Violence Hotline 866-748-7047 Report Medicaid Fraud 573-751-3285 - Report Public Assistance Fraud Contacts
Report Public Assistance Fraud Contacts Phone Number Eastern 877-770-8055 Southeast 877-860-3052 Central 877-603-4323 Western 877-698-0760 Southwest 877-839-4316
- Non-Covered Services
MO HealthNet does not cover all medical care services. A provider can bill you for care not covered by MO HealthNet. A few examples of services not covered are:
- Cosmetic surgery for improving appearance
- Experimental medical procedures, drugs, equipment, etc.
- Hair transplants
- Personal comfort items
- Routine contact lenses
- Treatment of infertility
- Surgical procedures for gender reassignment
- Sterilization reversal
If you have a question about what is covered, call Constituent Services at 800-392-2161.
- Covered Medical Services
The services below are covered by all Managed Care Health Plans. Some services are limited based on your age or eligibility group and other services may be available depending on your needs. Work with your provider to see if the service you need is covered.
- 24 hour access by phone
- Ambulance
- Ambulatory surgical center
- Asthma*
- Behavioral health services
- Birthing centers
- Chiropractic services*
- Complementary health and alternative therapy for chronic pain*
- Comprehensive day rehabilitation*
- Dental*
- Diabetes education and self-management training*
- Diabetes Prevention Program*
- Doctor’s office visits
- Doula services
- Durable medical equipment (e.g., oxygen, wheelchairs, walkers)*
- Emergency room
- Family planning services
- Habilitative services*
- Healthy Children & Youth services
- Hearing aids and related services*
- Home health services *
- Hospice, in last 6 months of life*
- Inpatient/outpatient services
- Laboratory tests and x-rays
- Local health services (immunizations)
- Maternity services
- Nurse midwife
- Nursing facility
- Occupational therapy services*
- Personal care
- Pharmacy (through Fee For Service)
- Physical therapy services*
- Podiatry*
- Preventative care (well checks, mammograms, cancer screenings)
- Sexually transmitted diseases
- Specialist care (with referral)
- Speech therapy services*
- Substance use treatment
- Tobacco cessation counseling
- Transplant related services
- Transportation to medical appointments*
- Treat no transport services
- Tuberculosis
- Vision*
*Services may be limited or not covered based on your eligibility. To learn more, visit Benefits and Services at mydss.mo.gov/mhd/benefits. Call your Managed Care Health Plan for more information.
- About Advocates for Family Health (Legal Aid and Services)
Advocates for Family Health is an ombudsman service. An ombudsman is a problem solver who can advise and help you. Advocates for Family Health can help you if:
- You need help understanding your rights and benefits under MO HealthNet Managed Care
- You feel your rights to health care are being denied
- You are not able to solve the problem by talking to a nurse, primary care provider or your MO HealthNet Managed Care health plan
- You need to talk to someone outside of your MO HealthNet Managed Care health plan
- You are not sure how to make a grievance or need help filing
- You need help when appealing a decision by your health plan
- You need help requesting a State Fair Hearing
- For help, contact the office for your county.
- Find Your Office
Missouri County Legal Aid Office Adair Eastern Andrew Western Atchison Western Audrain Mid-Missouri Barry Southern Barton Western Bates Western Benton Western Bollinger Southern Boone Mid-Missouri Buchanan Western Butler Southern Caldwell Western Callaway Mid-Missouri Camden Western Cape Girardeau Southern Carroll Western Carter Southern Cass Western Cedar Southern Chariton Mid-Missouri Christian Southern Clark Eastern Clay Western Clinton Western Cole Mid-Missouri Cooper Mid-Missouri Crawford Southern Dade Southern Dallas Southern Daviess Western DeKalb Western Dent Southern Douglas Southern Dunklin Southern Franklin Eastern Gasconade Southern Gentry Western Greene Southern Grundy Western Harrison Western Henry Western Hickory Western Holt Western Howard Mid-Missouri Howell Southern Iron Southern Jackson Western Jasper Western Jefferson Eastern Johnson Western Knox Eastern Laclede Southern Lafayette Western Lawrence Southern Lewis Eastern Lincoln Eastern Linn Western Livingston Western Macon Eastern Madison Southern Maries Southern Marion Eastern McDonald Western Mercer Western Miller Mid-Missouri Mississippi Southern Moniteau Mid-Missouri Monroe Eastern Montgomery Eastern Morgan Western New Madrid Southern Newton Western Nodaway Western Oregon Southern Osage Mid-Missouri Ozark Southern Pemiscot Southern Perry Southern Pettis Western Phelps Southern Pike Eastern Platte Western Polk Southern Pulaski Southern Putnam Western Ralls Eastern Randolph Mid-Missouri Ray Western Reynolds Southern Ripley Southern Saint Charles Eastern Saint Clair Western Saint Francois Southern Saint Louis County Eastern Saint Louis City Eastern Sainte Genevieve Southern Saline Western Schuyler Eastern Scotland Eastern Scott Southern Shannon Southern Shelby Eastern Stoddard Southern Stone Southern Sullivan Western Taney Southern Texas Southern Vernon Western Warren Eastern Washington Eastern Wayne Southern Webster Southern Worth Western Wright Southern - Western Missouri
Legal Aid of Western Missouri
4001 Dr. Martin Luther King, Jr. Blvd. Suite 300
Kansas City, MO 64130
Phone: 816-474-6750
Fax: 816-474-9751- Eastern Missouri
Legal Services of Eastern MO
701 Market Street, Suite 1100
St. Louis, MO 63101
Phone: 314-534-4200
Toll free: 800-444-0514
Fax: 314-534-1028- Mid-Missouri
Mid-MO Legal Services
117 North Garth
Columbia, MO 65203
Phone: 573-442-0116
Toll free: 800-735-2966
Fax: 573-875-0173- Southern Missouri
Legal Services of Southern MO
3130 South Delaware
Springfield, MO 65804
Phone: 417-881-1397
Toll free: 800-444-4863
Fax: 417-881-2159
- Non-Discrimination Notice
The MO HealthNet Division complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. MO HealthNet Division does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.
The MO HealthNet Division:
- Provides aids and services to people with disabilities at no cost, to communicate effectively with us, such as:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, accessible electronic formats, other formats)
- Provides language services at no cost, to people whose primary Language is not English, such as:
- Qualified interpreters
- Information written in other languages
If you need a qualified interpreter, written information in other formats, translation or other services, call the MO HealthNet Managed Care Enrollment Helpline at 800-348-6627.
If you believe the MO HealthNet Division has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with the Missouri Department of Social Services, Office for Civil Rights at 800-776-8014; or 866-735-2460 (Voice); 800-735-2966 (Text).
Complaints may also be filed by writing to:
Missouri DSS Office for Civil Rights
P.O. Box 1527
Jefferson City, MO 65102-1527.You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at: ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue
SW Room 509F, HHH Building
Washington, D.C. 20201
800-368-1019, or TDD at 800-537-7697Complaint forms are available online at: hhs.gov/civil-rights/filing-a-complaint/complaint-process/index.html
- Provides aids and services to people with disabilities at no cost, to communicate effectively with us, such as:
- Equal Opportunity Provider
The Missouri Department of Social Services is an equal opportunity provider.