Policies & Procedures
- Apply for EMOMED
- GEMT Uncompensated Cost Reimbursement Program, updated 10/21/19
- Claims processing and payment schedule
- Exempt Diagnosis Table, updated 10/01/20
- HIPAA - EDI companion guide
- Radiology benefit management information
- Remittance Advice Remark Codes and Claim Adjustment Reason Codes
- SDAC and IEP Direct Services Cost Settlement
Fee Schedules & Rate Lists
- Fee Schedules
- IRHC Medicare/Medicaid Interim Rate list
- Nursing Facility Rate list
- Outpatient Hospital Radiology Fee Schedule 2021 - Previous Versions (2020), (2019), (2018)
- Outpatient Hospital Surgical Procedural Fee schedule, effective 01-01-19, updated 11/30/18
- Outpatient Hospital Lab Fee schedule, effective 01/01/21, updated 04/08/21
- Outpatient Hospital Simplified Fee Schedule effective July 20, 2021
- Outpatient Hospital Simplified Fee Schedule effective July 1, 2022
Education and Training
- Benefit Tables (formerly Benefit Matrix) This shows the various benefits for each MO HealthNet programs, and if they have cost sharing or co-pays.
- Provider Resource Guide This guide provides descriptions of medical eligibility code, shows limited and comprehensive benefits and provides abundant MO HealthNet contact information.
- Education and Training Resources Offers provider webinar and workshop schedules, educational power point resources and audio visual training.
- Contact Education and Training, updated 08/10/2022