The MO HealthNet Division covers the cost of hospital services including inpatient and outpatient services for MO HealthNet eligible participants. An acute inpatient service is one in which the hospital expects to provide service to the member in the hospital for a 24-hour period or longer. Outpatient hospital services are those services provided to a member not admitted by the hospital as an inpatient but is registered on the hospital records as an outpatient and receives services from the hospital.
Education & Training
- Breast and Cervical Cancer Treatment (BCCT) Expansion
- MO HealthNet Education & Training
- Hospital Billing for Dental in Outpatient Setting
Forms
Provider Manual
Resources
- Benefit Tables
- Claims & Billing
- Criteria For Post-Payment Review of Specialty Pediatric Hospital Discharges
- CyberAccess
- FAQs
- Fee Schedules
- Inpatient Stay Exemption by Diagnosis Code Table
- Laboratory Program
- MO HealthNet Inpatient APR-DRG Calculator - 2027
- MO HealthNet Inpatient APR-DRG Calculator - 2026
- Pre-Certification Criteria
- Radiology Program
- Provider Information
MO HealthNet News
The table below provides general information and updates that are relevant to this program page, as well as all MO HealthNet providers. To find information for all other MO HealthNet programs, or to search by date, program or keyword, visit the MO HealthNet News page. If you would like to receive updates in your inbox, subscribe to MO HealthNet News!
| Date | Volume Number | Subject | Type | Program |
|---|---|---|---|---|
| 10/01/2026 | 49-17 | ICD-10 Annual Update | Bulletins | All MO HealthNet Providers |
| 09/28/2026 | Inpatient Validation Review Record Request | Hot Tips | Hospital | |
| 09/24/2026 | Updated MO HealthNet Provider Training Schedule Now Available | Hot Tips | All MO HealthNet Providers | |
| 09/23/2026 | Missouri Waiver Programs: Information for Participants & New Navigation Tool | Hot Tips | All MO HealthNet Providers | |
| 09/21/2026 | FCSR Registration Fee Increase | Hot Tips | All MO HealthNet Providers | |
| 09/16/2026 | Provider Enrollment Update | Hot Tips | All MO HealthNet Providers | |
| 09/04/2026 | 49-14 | REVISED Billing Guidance Update for Specialized Infant Formulas | Bulletins | All MO HealthNet Providers |
| 09/01/2026 | Physical Therapy | Hot Tips | All MO HealthNet Providers | |
| 08/25/2026 | 49-12 | Participation Requirements for MO HealthNet Managed Care | Bulletins | All MO HealthNet Providers |
| 08/18/2026 | Resolve Managed Care Claim Issues Faster with Our New Online Form! | Hot Tips | All MO HealthNet Providers | |
| 08/18/2026 | Changes to Preferred Biosimilar Medications | Hot Tips | All MO HealthNet Providers | |
| 08/17/2026 | Optimizing Benefits for Maternal and Infant Health: Join Us in Joplin on September 22 | Hot Tips | All MO HealthNet Providers | |
| 08/12/2026 | Manually Priced Procedures | Hot Tips | All MO HealthNet Providers | |
| 08/10/2026 | Pharmacy Administration Helpdesk Change of Business Hours | Hot Tips | All MO HealthNet Providers | |
| 08/03/2026 | Upcoming Self-Measured Blood Pressure (SMBP) Monitoring Webinar | Hot Tips | Hospital |