MO HealthNet Alerts & Public Notices
- 09/15/23 - Targeted Case Management for Developmentally Disabled Individuals Program Administered by the Department of Mental Health
- 09/06/23 - Independent Living Waiver Renewal Draft
- 08/15/23 - Public Notice Regarding PDN Provider Capacity Meeting
- 07/25/23 - Public Notice Regarding the Comprehensive Substance Abuse Treatment (CSTAR) Program Administered by the Department of Mental Health
- 07/14/23 - Public Notice for State Operated Psychiatric Residential Treatment Facilities (PRTF)
- 07/14/23 - Public Notice regarding the submission of amendments to update waiver service rate methodology language, increase the Community Transition service maximum limit, clarify the remote supports implementation process and increase the projected unduplicated number of participants served in the Comprehensive and Community Support waivers. s
- 07/12/23 - Updated Public Notice Regarding Comprehensive Community Support Services Reimbursement
- 07/12/23 - Public Notice of Comprehensive Community Support Current and SFY2024 Rates
- 06/30/23 - Public Notice of Home and Community-Based Services Provider Rate Increases
- 06/30/23 - Public Notice of Department of Mental Health Home and Community Based Services (HCBS) Waiver Provider Rate Increase
- 06/30/23 - Public Notice Regarding the Prospective Amendment Primary Care Health Home Medicaid State Plan Amendment
- 06/30/23 - Public Notice of Prospective Reimbursement Plan for Nursing Facility and HIV Nursing Facility Services Reimbursement Rates Methodology
- 06/30/23 - Public Notice Regarding Inpatient Hospital Services Reimbursement Plan
- 06/30/23 - Public Notice Regarding Comprehensive Community Support Services Reimbursement
- 06/30/23 - Public Notice of Reimbursement for Certified Nurse Assistant (CNA) Training
- 06/30/23 - Public Notice Regarding Ambulatory Surgical Center (ASC) Reimbursement
- 06/15/23
- 03/17/23 - DSDS Waiver Amendments
- 03/01/23
- 02/28/23
- 02/01/23
- 01/30/23 - Value-Based Supplemental Payments for Home and Community Based Services Providers of Personal Care
- 01/27/23 - Partnership for Hope and Missouri Children with Developmental Disabilities waiver renewal applications and the Comprehensive and Community Support waiver amendments to align with the renewals.
- 12/21/2022 - Aged & Disabled Waiver Renewal Draft
- 12/21/22 - Public Notice Regarding Certified Community Behavioral Health Organization (CCBHO) Program
- 11/14/22 - Public Notice of Public Forum Amended 1115 Waiver for Former Foster Youth
- 11/07/22 - Public Notice Quality Improvement Strategy for the Managed Care Program
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09/28/22 - Upcoming Changes to HIPP effective January 1, 2023
Effective January 1, 2023, MO HealthNet will be implementing changes to the HIPP program in accordance with our approved State Plan.
Here are the new changes starting on January 1, 2023:
- Participants will not be eligible for participation in the HIPP Program if they are eligible for or enrolled in Medicare, MO HealthNet Managed Care, or if they have a policy that is court ordered.
- Dental and Vision standalone policies will no longer be covered through HIPP. Dental and Vision services will be provided through wrap around coverage.
- The program is moving to a prospective payment model, meaning that payments for premiums will be paid in advance and HIPP participants will be required to submit proof of payment and/or continuing coverage on a monthly basis.
It is important to note that these changes do not impact eligibility for MO HealthNet (Medicaid) coverage. Any active Medicaid or CHIP participants listed on the policy covered by the HIPP program will still receive benefits through MO HealthNet. Only the private insurance paid for by HIPP is affected by this change.
The HIPP Program at MO HealthNet can be reached at 573-751-2005 or MHD.HIPP@dss.mo.gov for any questions.
- 08/30/2022 Public Notice regarding prospective reimbursement plan for nonstate-operated facilities for ICF/IID Services Reimbursement Methodology
- 08/25/22 Public Notice regarding the submission of amendments to add enhanced Value Based Payments (VBP) for the Comprehensive, Community Support, Partnership for Hope, and Missouri Children with Developmental Disabilities (MOCDD) Waivers.
- 7/29/22 Public Notice Regarding Outpatient Hospital Services Reimbursement
- 06/30/22 Public Notice of Department of Mental Health Home and Community Based Services (HCBS) Waiver Provider Rate Increase
- 06/30/22 Public Notice of Prospective Reimbursement Plan for Nursing Facility and HIV Nursing Facility Services Reimbursement Rates Methodology
- 06/30/22 Public Notice Regarding Outpatient Direct Medicaid Payment
- 06/30/22 Public Notice Regarding Inpatient Hospital Services Reimbursement Plan
- 06/30/22 Public Notice regarding Rate Increases for Fiscal Year 2023 for the Department of Social Services, MO HealthNet Division.
- 06/22/22 Public Notice regarding reimbursement for acute inpatient stays institutions for mental disease (IMD) for Medicaid enrollees ages 21-64 diagnosed with a serious mental illness (SMI).
- 6/10/22 Public Notice regarding the 1115 waiver demonstration application seeking authority to reimburse for medically necessary residential substance use disorder (SUD) services furnished in facilities that qualify as an institution for mental disease (IMD)
- 05/26/22 - MO HealthNet Managed Care Contracts Awarded.
- 05/18/22 Public Notice regarding MO HealthNet Global Per Diem Adjustments to Nursing Facility and HIV Nursing Facility Reimbursement Rates Methodology.
- 5/12/22 Public Notice regarding Certified Community Behavioral Health Organization (CCBHO) Program administered by the Department of Mental Health
- 05/05/22 Public Notice regarding the submission of the AIDS Waiver application renewal
- 04/21/22 Public notice regarding the submission of amendments to add the health assessment and coordination waiver service for the Comprehensive, Community Support, Partnership for Hope, and Missouri Children with Developmental Disabilities (MOCDD) Waivers.
- 04/11/22 Gateway to Better Health - 2022 Post Award Notice & Annual Report
- 3/25/22 Public Notice Regarding the Recovery Audit Contractor (RAC) Medicaid State Plan Amendment
- 2/23/2022 Public Notice Regarding the Comprehensive Substance Abuse Treatment (CSTAR) Program Administered by the Department of Mental Health
- 2/14/22 Public Notice Regarding the Durable Medical Equipment (DME) Program Administered by the Department of Social Services
- 12/30/21 Public Notice of Public Forum for Former Foster Care Youth Section 1115 Demonstration
- 12/28/21 Public Notice Regarding Mandatory Medicaid Coverage of Routine Patient Costs Furnished in Connection with Participation in Qualifying Clinical Trials
- 12/28/21 Public Notice Regarding Mandatory Medicaid Coverage of Routine Patient Costs Furnished in Connection with Participation in Qualifying Clinical Trials - Alternative Benefit Plan
- 12/21/21 Public Notice Regarding the Non-Emergency Medical Transportation (NEMT) Program Administered by the Department of Social Services and Department of Mental Health
- 11/23/21 Public Notice Regarding Certified Community Behavioral Health Organization (CCBHO) Program Administered by the Department of Mental Health
- 10/28/21 Public Notice regarding the Gateway to Better Health Section 1115 Demonstration Project Phase-out Plan
- Public Notice Revised
- Gateway to Better Health Section 1115 Project Phase-out Plan Revised
- Appendix A - Gateway to Better Health Transition Letter Revised
- Appendix B - Gateway to Better Health Closing Letter Revised
- Appendix C - MO HealthNet Adult Expansion Group Approval Letter Revised
- Appendix D - MO HealthNet Adult Expansion Group Rejection Letter V1 Revised
- Appendix D - MO HealthNet Adult Expansion Group Rejection Letter V2 Revised
- 09/29/21 Public Notice Regarding the Community Mental Health Center (CMHC) Health Home Proggram Administered by the Department of Mental Health
- 09/29/21 Public Notice Regarding Private Psychiatric Residential Facility (PRTF) Services
- 09/27/21 Public Notice for Telemedicine/Telehealth Services
- 09/01/21 Missouri Partial Approval Letter HCBS FMAP Spending Plan – State Response
- 09/01/21 Public Notice for Former Foster Care Youth, Section 1115 Demonstration Waiver Amendment
- 08/19/21 Missouri Partial Approval Letter HCBS FMAP Spending Plan
- 07/15/21 Public Notice Regarding HCBS Spending Plan
- 06/30/21 Public Notice of Department of Mental Health Home and Community Based Services (HCBS) Waiver Provider Rate Increase
- 06/30/21 Public Notice of Rate Increases for Home and Community Based Services Authorized by the Department of Health and Senior Services
- 06/30/21 Public Notice for Air Ambulance Rate Increase for Fiscal Year 2022, Department of Social Services, MO HealthNet Division
- 06/30/21 Public Notice of Applied Behavior Analysis Rate Change for Fiscal Year 2022 for the Department of Social Services, MO HealthNet Division
- 06/30/21 Public Notice of MO HealthNet Global Per Diem Adjustments to Nursing Facility and HIV Nursing Facility Reimbursement Rates Methodology
- 06/30/21 Public Notice Regarding Nominal Charge Provider Definition
- 06/30/21 Public Notice Regarding Safety Net Hospital Criteria
- 06/30/21 Public Notice Regarding Provider-Based Rural Health Clinic
- 06/30/21 Public Notice regarding Hospital Outpatient Settlements
- 06/08/21 Public Notice Regarding the MO HealthNet Cost Sharing
- 05/17/21 Public Notice Regarding Quality Improvement Strategies for the Managed Care Program
- 05/14/21 Gateway to Better Health - 2021 Post Award Public Notice and Annual Report
- 04/12/21 Public Notice Regarding Prospective 340B Drug Reimbursement Changes
- 04/05/21 Public Notice Regarding Outpatient Hospital Services Reimbursement Methodolgy
- 03/25/21 Public Notice regarding the submission of the Medically Fragile Adult Waiver LOC amendment
- 02/26/21: Public Notice regarding the Gateway to Better Health Section 1115 Demonstration Project Phase-out Plan
- Public Notice Revised
- Gateway to Better Health Section 1115 Project Phase-out Plan
- Appendix A - Gateway to Better Health Transition Letter
- Appendix B - Gateway to Better Health Closing Letter
- Appendix C - MO HealthNet Adult Expansion Group Approval Letter
- Appendix D - MO HealthNet Adult Expansion Group Rejection Letter V1
- Appendix D - MO HealthNet Adult Expansion Group Rejection Letter V2
- 01/28/21: Public Notice regarding the Adult Expansion Group prospective Alternative Benefit Plan (ABP)
- Public Notice - revised
- Proposed SPA Page
- 01/13/21: Public Notice regarding Prospective Professional Dispensing Fee Changes
- 01/12/21: Public Notice regarding the submission of the Adult Day Care Waiver, Aged and Disabled Waiver, AIDS Waiver, Brain Injury Waiver, Independent Living Waiver and Structured Family Caregiving Waiver LOC amendments.
- Public Notice
- Structured Family Caregiving Waiver (SFCW) LOC Amendment Draft
- Independent Living Waiver (ILW) LOC Amendment Draft
- Aged & Disabled Waiver (ADW) LOC Amendment Draft
- Adult Day Care Waiver (ADCW) LOC Amendment Draft
- Brain Injury Waiver (BIW) LOC Amendment Draft
- AIDS Waiver LOC Amendment Draft
- 12/10/20: Public Notice regarding the Comprehensive and Community Support Waiver renewal applications, the Missouri Children with Developmental Disabilities (MOCDD) and Partnership for Hope (PFH) Waiver amendment applications to align with the renewals.
- 11/19/20: Public Notice regarding the Adult Day Care Waiver, Aged and Disabled Waiver, Independent Living Waiver, and Structured Family Caregiving Waiver Amendments eliminating the level of care prescreen process
- 11/19/20: Public Notice regarding the renewal of the Medically Fragile Adult Waiver (MFAW) application
- 10/29/20 Public Notice Regarding Prospective Reimbursement Plan for Nursing Facility Services
- 09/23/2020 Public Notice regarding submission of Comprehensive, Community Support, Partnership for Hope, Missouri Children with Developmental Disabilities Waiver Amendments.
- Public Notice
- Community Support Waiver Remove Services Amendment
- Comprehensive Waiver Remove Services Amendment
- MOCDD Waiver Remove Services Amendment
- Partnership for Hope Remove Services Amendment
- Community Support Waiver Factor C Amendment
- Comprehensive Waiver Factor C Amendment
- Partnership for Hope Factor C Amendment
- 08/05/2020 Public Notice Regarding 1115 Demonstration application for the Extended Women's Health Services Waiver Program
- Public Notice
- Extended Women's Health Services (EWHS) 1115 Waiver Application
- Attachment A - EWHS
- Attachment B - EWHS
- Attachment C - EWHS Quarterly Report
- Attachment D - EWHS Annual Report
- Attachment E - Budget Neutrality Form
- Attachment F - Budget Neutrality Worksheet - EWHS
- Attachment G - EWHS Public Notice
- Attachment H - EWHS Newspaper Posting
- Attachment I - EWHS Website Posting
- 07/01/2020 Public Notice of Application for Former Foster Care Youth, Section 1115 Demonstration
- 06/30/2020 Ground Ambulance Rate Change for Fiscal Year 2021 for the Department of Social Services, MO HealthNet Division
- 06/19/20 Public Notice of New Billing Process Evidence-Based Treatment for Children Who Have Experienced Severe Trauma
- 06/16/2020 Public Notice Regarding Home Health Services Program
- 06/09/2020 - Public Notice of Adult Day Care Waiver (ADCW) Renewal Application
- 05/28/2020 - Public Notice Regarding Private Duty Nursing Program Services
- 05/14/2020 - Public Notice Regarding the Medically Fragile Adult Waiver (MFAW) Amendment
- 05/05/2020 - Public Notice Regarding Diabetes Prevention Program Services for Adults
- 04/30/2020 - Public Notice of MO HealthNet Program Benefits for Federally-Qualified Health Center Services
- 04/16/2020 - Gateway to Better Health – 2020 Post Award Public Notice and Annual Report
- 04/15/2020 - Public Notice Regarding Recovery Audit Contractor (RAC) Medicaid State Plan Amendment
- 04/09/2020 MO HealthNet Nursing Home Cost Reports Public Notice & Order
- 03/19/2020 CMS Letter: DMH Operational Changes
- 03/03/2020 Public Notice regarding the submission of Comprehensive, Community Support, Missouri Children and Developmental Disabilities (MOCDD) and Partnership for Hope Waiver Amendments
- 02/21/2020 - Public Notice regarding Individualized Supported Living (ISL) Rate Standardization
- 02/21/2020 - Public Notice regarding MO HealthNet HCBS Statewide Transition Plan Heightened Scrutiny Settings Summary and Referral Process
- 01/23/2020 - Missouri Care Change of Ownership
- 01/21/2020 - Public Notice of Stakeholder Meeting on Behavioral Health Carve-In for Children in State Care and Custody
- 01/14/2020 - Public Notice for Targeted Case Management for Developmentally Disabled Individuals
- 01/10/2020 - Public Notice for Application for Missouri Targeted Benefits for Pregnant Women Demonstration Project, Section 1115 Demonstration
- 12/31/2019 - Public Notice for Behavioral Health Services
- 12/20/2019 - Public Notice HCBS Statewide Transition Plan
- 12/09/2019 - Public Notice Regarding Chiropractic Services
- 11/25/2019 - Public Notice of MO HealthNet regarding Treat NO Transport Services
- 11/08/2019 - Electronic Verification Visit Stakeholder Meeting
- 09/30/2019 - Public Notice for Gateway to Better Health Demonstration Amendment Request
- 09/19/2019 - Public Notice Regarding Structured Family Care Giving Waiver Application
- 08/23/2019 - Public Notice Regarding the Medicaid Fee-for-Service Access Monitoring Review Plan
- 08/13/2019 - REVISED Public Notice Regarding the Prospective Amendment Primary Care Health Home Medicaid State Plan Amendment
- 08/08/2019 - Public Notice of Stakeholder Meeting - Electronic Visit Verification Updates
- 07/31/2019 - Public Notice of MO HealthNet Global Per Diem Adjustment to Nursing Facility and HIV Nursing Facility Reimbursement Methodology
- 07/10/2019 - Public Notice for Application for Missouri Targeted Benefits for Pregnant Women Demonstration Project, Section 1115 Demonstration
- 06/26/2019 - Public Notice of Rate Methodology Change for Fiscal Year 2020 for the Department of Social Services, MO HealthNet Division
- 06/26/2019 - Public Notice of Department of Mental Health Home and Community Based Services Waiver Provider Rate Increase
- 04/23/2019 - Brain Injury Waiver Public Notice and Waiver Application
- 04/10/2019 - Public Notice Regarding Certified Community Behavioral Health Clinic (CCBHC) Program Administered by the Department of Mental Health
- 03/27/2019 - Public Notice - HCBS Statewide Transition Plan (Amended 03/27/19) Revised 04/24/19
- 03/12/2019 - Gateway to Better Health - 2019 Post-Award Public Notice and Annual report
- 03/04/2019 - Public Notice regarding the Alternative Therapies for Chronic Pain State Plan Amendment
- 01/31/2019 - Public Notice of Reimbursement Methodology for MO HealthNet Global Per Diem Adjustments to Nursing Facility and HIV Nursing Facility Reimbursement Rates
- 12/20/2018 - Public Notice Regarding Prospective Reimbursement Plan for Nonstate-Operated Facilities for ICF/IID Services Reimbursement Methodology
- 12/11/2018 - Public Notice Regarding Prospective Outpatient Drugs Reimbursement Methodology
- 10/24/2018 - Public Notice of Rate Methodology Change for the Department of Social Services, MO HealthNet Division School-Based Individualized Education Plan (IEP) Specialized Transportation Services
- 10/2/2018 - Independent Living Waiver
- 9/27/2018 - Public Notice Regarding the Prospective Assistant Physician Medicaid State Plan Amendment
- 9/14/2018 - Reimbursement Methodology for MO HealthNet Global Per Diem Adjustments to Nursing Facilities and HIV Nursing Reimbursement Rates
- 7/31/2018 - Public Notice for Gateway to Better Health
- 7/27/2018 - Public Notice Regarding Prospective Outpatient Hospital Services Reimbursement Methodology
- 7/26/2018 - Prospective MO HealthNet Primary Care Health Home Medicaid State Plan Amendment
- 06/29/2018 - Reimbursement Methodology for MO HealthNet Global Per Diem Adjustments to Nursing Facility and HIV Nursing Facility Reimbursement Rates
- 06/21/2018 - Recorded Public Hearing Regarding Prospective MO HealthNet Managed Care Reimbursement Methodology
- 06/08/2018 - MO HealthNet Managed Care Reimbursement Methodology
- 05/25/2018 - Quality Improvement Strategy for the Managed Care Program
- 05/01/2018 - Gateway to Better Health - Post-Award Public Notice
- 04/27/2018 - Governing Health Care Acquired Conditions Public Notice
- 03/21/2018 - Public Notice Regarding Truman Medical Centers Enhanced Rates for Physicians and Professionals
- 02/08/2018 - Public Notice of MO Children with Developmental Disabilities (MOCDD) and Partnership for Hope (PFH) Waiver Renewal