Physical therapy services for adults are no longer covered through the Complementary Health and Alternative to Chronic Pain Management Program after July 1, 2026. However, physical therapy services are still available for the following participants:
If you cannot resolve a Managed Care issue directly with a MO HealthNet Managed Care health plan (Healthy Blue, Home State Health, Show Me Healthy Kids, or United Healthcare), MO HealthNet’s Managed Care Liaisons are here to help with billing disputes, claim denials, eligibility issues, and policy concerns.
What’s Changing?
Beginning October 1, 2026, MO HealthNet will change the preferred product for several biologic agents. These updates support access to high-quality, clinically effective treatments and help manage program costs responsibly. The affected biologic agents are listed below. Changes from current management appear in bold and blue.
All MO HealthNet providers and professional community partners are invited to join the MO HealthNet Division, our Managed Care health plans, and the Office of Oral Health for a unique in-person networking opportunity on September 22, 2026, at Villa Heights Christian Church, 2650 E 7th Street, Joplin, MO 64801, from 9:30 am to 3:30 pm.
Register here for Optimizing Benefits for Maternal and Infant Health
An invoice should be attached to the claim for payment of procedures that must be manually priced by the State Medical Consultant. As some procedures involve upfront costs to the provider for materials/supplies, it is helpful if an invoice is attached that outlines pertinent information regarding the materials/supplies. Refer to the MO HealthNet Fee Schedule for procedures that require attachments.
Starting August 31, 2026, the MO HealthNet Pharmacy Administration Helpdesk will update its hours of operation to Monday through Friday, 8:00 a.m. to 4:30 p.m. Central.
Beginning October 1, 2026, MO HealthNet will change the preferred product for several biologic agents. These updates support access to high-quality, clinically effective treatments and help manage program costs responsibly. The affected biologic agents are listed below. Changes from current management appear in bold and italics.
The Missouri Medicaid Third-Party Liability (TPL) Unit has launched a new online portal for submitting TPL-1 (Insurance Information Request) and TPL-4 (Insurance Information Update) forms effective August 3rd, 2026.
Providers may use the portal to:
As part of our commitment to enhance security, we are implementing Multi-Factor Authentication (MFA) for eMOMED. Beginning on 5/20/2026, all users were prompted to select and register an MFA method. Options included SMS, Email and Authenticator App.
