Message to Our Health Plans
Thank you to our MO HealthNet Managed Care Health Plans for providing quality care to Missourians. We appreciate your dedication to serving our Medicaid participants while following our guiding principles.
Contract Information
- Managed Care Contract Effective 07-01-2022 (CMS Approved 10-05-2023)
- Amendment #001 - Effective 07-01-2022 (CMS Approved 10-11-2023)
- Amendment #002 - Effective 10-01-2022 (CMS Approved 10-20-2023)
- Amendment #003 - Effective 01-01-2023 (CMS Approved 05/20/2024)
- Amendment #004 - Effective 07-01-2023 - Renewal Stop Gap Contract (CMS Approved 05/20/2024)
- Amendment #005 - Effective 07-01-2023 (CMS Approved 05/20/2024)
- Amendment #006 - Effective 10-01-2023 (CMS Approved 05/20/2024)
- Amendment #007 - Effective 01-01-2024 (Pending CMS Approval)
- Amendment #008 - Effective 07-01-2024 (Pending CMS Approval)
- Amendment #009 - Effective 10-10-2024 (Pending CMS Approval)
- Amendment #010 - Effective 01-01-2025 (Pending CMS Approval)
- Reporting Templates & Vendor Documents
Quality Oversight
- 2024 Quality Improvement Strategy
- Encounter Edits Descriptions
- Evaluation of 2021 Quality Improvement Strategy
- Managed Care Encounter Data Guide
- Managed Care Organization Accreditation Chart
- Missouri Triennial Encounter Audit – 6-25-24
- MCO Ownership Control & Transaction Disclosure Report
- Provider Network Adequacy Standards Report
External Quality Reviews
2023 Annual Technical Report
Note: No Managed Care Organizations are exempt from EQR 2024
United Healthcare
Compliance | Performance Measures | Improvement Projects | Care Management | Network Adequacy
Home State Health
Compliance | Performance Measures | Improvement Projects | Care Management | Network Adequacy
Healthy Blue
Compliance | Performance Measures | Improvement Projects | Care Management | Network Adequacy
Show Me Healthy Kids
Compliance | Performance Measures | Improvement Projects | Care Management | Network Adequacy
Managed Care Network Access
Data related to which healthcare providers and specialists are currently contracted with each managed care organization
More Information
- Calendar of Events
- History of MO HealthNet Managed Care
- Managed Care Provider Toolkit
- Managed Care Network Access
- Mental Health Parity Report
- MissouriBUYS Statewide Procurement System
- Missouri Medicaid Audit & Compliance
- MO HealthNet News
- OA Award Bid & Contract Document Search
- Provider Forms
- Quality Assurance and Improvement Committee
- Quality of Care External Quality Review
- Sign up for MO HealthNet News