Welcome MO HealthNet Providers
- MO HealthNet News
- Provider Bulletins, Hot Tips, & News
- Provider Manuals
- Provider manuals for all programs
- Claims & Billing
- Processing & payment information
- Fee Schedules & Rates
- Current fee schedules & rate lists
- Pharmacy
- PDL & clinical edit information
- Education & Training
- Education & training resources
- Forms
- Forms for MO HealthNet providers
- Enroll with MO HealthNet
- Become a MO HealthNet provider
MO HealthNet Programs
Learn more about MO HealthNet programs by viewing Provider Manuals, Bulletins, Hot Tips, trainings, and more. You can also visit our MO HealthNet News page to view information for all programs.
- 1115 Demonstration Waivers
- 1915(C) Home & Community Based Waivers
- Ambulance
- Ambulatory Surgical Center
- Behavioral Health Services
- Behavioral Health Adult Targeted Case Management
- Behavioral Health Youth Targeted Case Management
- Certified Community Behavioral Health Clinics / Organizations
- Community Psychiatric Rehabilitation Program
- Comprehensive Day Rehabilitation
- Comprehensive Substance Treatment & Rehabilitation
- Dental
- Developmental Disabilities Health Home
- Doula
- Durable Medical Equipment
- Electronic Visit Verification
- Environmental Lead Assessment
- Exceptions
- Healthy Children & Youth
- Hearing Aid
- Hepatitis C Treatment
- Home Health
- Hospice
- Hospital
- Laboratory
- Maternal and Infant Health
- Medicare/Medicaid Claims Processing
- Non-Emergency Medical Transportation
- Nurse Midwife
- Nursing Home
- Optical
- Personal Care
- Pharmacy
- Physician
- Primary Care Health Home Initiative
- Private Duty Nursing
- Program of All-Inclusive Care for the Elderly
- Rehabilitation Centers
- Radiology
- Rural Health Clinic
- School District Administrative Claiming
- School-Based IEP Direct Services Cost Settlement
- School-Based IEP Specialized Transportation
- Show Me Home (Money Follows the Person)
- Targeted Case Management for IDD
- Telemedicine
- Therapy
- Transformation of Rural Community Health (ToRCH)
- Transplant
Contact Information
Education & Training
Instructs providers on navigating provider resources, proper billing methods and procedures for claim filing. Contact at MHD.Education@dss.mo.gov or call 573-751-6683.
Managed Care Provider Communications
If providers are unable to resolve a Managed Care issue directly with a health plan, contact a Managed Care Liaison by completing a Managed Care Provider Request for Information.
Provider Communications
Call 833-222-7916 or log in to eMOMED for help with eligibility, claim filing, resolution and disposition, and participant verification.
Managed Care Health Plans
Contact the Managed Care health plans directly to contract with them:
- 855-694-HOME (4663)
- Provider website
- 877-236-1020
- Provider website
- 833-388-1407
- Provider website
- 866-292-0359
- Provider website & portal
MO HealthNet Participant Eligibility
MO HealthNet assigns individuals to either the Fee-For-Service program or a Managed Care health plan depending on eligibility criteria.
Fee-For-Service
- Senior (age 65 and older)
- Person with a disability
- Blind or visually impaired adult
- Woman (under age 65) with breast or cervical cancer
Managed Care
- Pregnant woman including her newborn
- Child (birth to age 18)
- Parent with children in the home
- Adult (age 19-64) without a disability
More Information
- Calendar of Events
- eMOMED Information
- FFS Provider Listing
- Health Information Exchange
- Health Professional Loan and Loan Repayment Programs
- Managed Care Provider Toolkit
- MO HealthNet Advisory Committees
- Out-of-state non-bordering services
- Provider FAQs
- Medicaid Eligibility Codes
- Provider Sanctions
- Search for a Healthcare Provider