MO HealthNet Division Provider Bulletins

The MO HealthNet Program publishes provider bulletins as necessary to clarify existing program and policy or explain new policy. Bulletins are posted at this location and will remain here until they are incorporated into the provider manuals as appropriate. At that time, the bulletins will be moved to the Archives.

Archived Bulletins

Issue Date Provider Bulletin Description
Jan 13, 2021 Pharmacy Program Reimbursement, Vol 43, No. 16
Dec 28, 2020 REVISED - 2019 ADA Dental Claim Form, Vol 43, No. 15
Dec 23, 2020 Missouri Care Name Change to Healthy Blue, Vol 43, No. 14
Dec 21, 2020 REVISED - COVID-19 Vaccine, Vol 43, No. 13
Nov 23, 2020 Private Duty Nursing Program, Vol 43, No. 12
Nov 10, 2020 ICD-10 Annual Update, Vol 43, No. 11
Nov 10, 2020 Hospice Rate Update, Vol 43, No. 10
Oct 08, 2020 HCY/EPSDT Program, Vol 43, No. 09
Sep 23, 2020 REVISED - Diabetes Prevention Program Services For Adults, Vol 43, No. 08
Sep 22, 2020 Ambulance Program Rate Increase And Mass Adjustments, Vol 43, No. 07
Sep 2, 2020 2019 American Dental Association (ADA) Dental Claim Form, Vol 43, No. 06
Aug 20, 2020 Quantity Prescribed Requirement, Vol 43, No. 05
Aug 13, 2020 School-Based Individualized Education Program Direct Services - Applied Behavior Analysis (ABA), Vol 43, No. 04
Aug 11, 2020 MO HealthNet Manage Care Member Lock-In, Vol 43, No. 03
July 21, 2020 Pharmacy Diagnosis Code, Vol 43, No. 02
July 17, 2020 National Drug Code (NDC) Requirement, Vol 43, No. 01
June 26, 2020 Outpatient Observation Drug Claims, Vol 42, No. 45
June 22, 2020 Federally Qualified Health Center (FQHC) Program, Vol 42, No. 44
July 31, 2020 New Billing Process for Evidence-Based Treatment of Children Who Have Experienced Severe Trauma (CORRECTED), Vol 42, No. 43
June 9, 2020 Optical Program, Vol 42, No. 42
May 21, 2020 Pharmacist Administered Medications, Vol 42, No. 41
May 1, 2020 Diabetes Prevention Program Services For Adults, Vol 42, No. 40
Apr 22, 2020 Nursing Facility Program, Vol 42, No. 39
Apr 2, 2020 Push Rim Activated Power Assist Wheels (E0986), Vol 42, No. 38
Apr 2, 2020 Durable Medical Equipment, Vol 42, No. 37
Mar 26, 2020 Diabetic Supplies - UPDATED, Vol 42, No. 36
Apr 1, 2020 School-Based Individualized Education Plan (IEP) Specialized Transportation Services, Vol 42, No. 35
Mar 19, 2020 Nursing Facility & Hospice, Vol 42, No. 34
Mar 19, 2020 Diabetic Supplies, Vol 42, No. 33
Mar 17, 2020 Private Duty Nursing (PDN) Services - COVID-19 Changes, Vol 42, No. 32
Mar 18, 2020 Suspension of Coverage for Incarcerated Individuals, Vol 42, No. 31
Mar 13, 2020 Pharmacy Early Refill, Vol 42, No. 30
Mar 13, 2020 Tobacco Cessation Services Update, Vol 42, No. 29
Feb 19, 2020 2020 Code on Dental Procedures and Nomenclature (CDT) Additions/Changes, Vol 42, No. 28
Jan 30, 2020 Private Duty Nursing, Vol 42, No. 27
Jan 29, 2020 2020 Health Behavior Assessment & Intervention (HBAI) Code Changes, Vol 42, No. 26
Jan 27, 2020 2020 Healthcare Common Procedure Coding System, Vol 42, No. 25
Jan 2, 2020 Chiropractic Medicine, Vol 42, No. 24
Dec 23, 2019 Treat No Transport Services, Vol 42, No. 23
Dec 11, 2019 Free Standing Birth Center, Vol 42, No. 22
Oct 16, 2019 Hospice, Vol 42, No. 21
Oct 01, 2019 ICD-10 Annual Update Effective October 1, 2019, Vol 42, No. 20
Aug 27, 2019 Durable Medical Equipment Program Changes, Vol 42, No. 19
Aug 23, 2019 Independent Rural Health Clinic (IRHC) Reimbursement, Vol 42, No. 18
Aug 13, 2019 School Based IEP & First Steps Individualized Family Support Plan Physical, Occupational and Speech Therapy, Vol 42, No. 17
Aug 07, 2019 Rehabilitation Center Services Rate Update, Vol 42, No. 16
Aug 07, 2019 Optical Program Rate Update, Vol 42, No. 15
Aug 06, 2019 Durable Medical Equipment (DME) Program, Vol 42, No. 14
Aug 02, 2019 Home and Community Based Waiver Services: Important Information on "Settings Requirements", Vol 42, No. 13
Jul 18, 2019 Physician Fee Increases, Vol 42, No. 10
Jul 18, 2019 Hearing Aid Program Rate Increase, Vol 42, No. 09
Jul 18, 2019 DME Rate Increase, Vol 42, No. 08
Jul 18, 2019 Hearing Aid IEP Direct Services Rate Increase, Vol 42, No. 07
Jul 18, 2019 Occupational, Physical & Speech Therapy School-Based IEP Direct Service Rate Increase, Vol 42, No. 06
Jul 18, 2019 Personal Care & Private Duty Nursing School-Based IEP Direct Services Rate Increase, Vol 42, No. 05
Oct 15, 2019 UPDATED - Rate Increase for Behavioral Health Services, Vol. 42, No. 04
Jul 12, 2019 Rate Update for Home and Community-Based Services, Vol. 42, No. 03
Jul 12, 2019 Rate Update for Home Health Services, Vol. 42, No. 02
Jul 8, 2019 Behavioral Health Services Update, Vol. 42, No. 01
Jun 28, 2019 Ambulance Rate Update, Vol. 41, No. 59
Jun 21, 2019 Changes to Pharmacy Grandfathering, Vol. 41, No. 58
Jun 14, 2019 Electronic Visit Verification, Vol. 41, No. 57
May 22, 2019 Enhanced Reimbursement Trauma EBP, Vol. 41, No. 56
May 22, 2019 REVISED - New Complementary Health & Alternative Therapies for Chronic Pain Management, Vol. 41, No. 55
May 17, 2019 Hospice, Vol. 41, No. 54
May 13, 2019 Outpatient Surgical Procedure Billing, Vol. 41, No. 53
May 13, 2019 Oral Surgery in Outpatient Hospital, Vol. 41, No. 52
May 10, 2019 School-Based IEP Direct Services Cost Settlement, Vol. 41, No. 51
May 10, 2019 School District Administrative Claiming, Vol. 41, No. 50
May 2, 2019 Home and Community Based Services Care Plan Changes, Vol. 41, No. 49
Apr 18, 2019 Precertification Changes for Behavioral Health Services, Vol. 41, No. 48
Apr 9, 2019 340B Health Care Facility NDC Requirement, Vol. 41, No. 47
Mar 26, 2019 Assistant Physician, Vol. 41, No. 46
Mar 25, 2019 New Complementary Health & Alternative Therapies for Chronic Pain Management, Vol. 41, No. 45
Mar 05, 2019 REVISED - Telehealth: Originating Site Reimbursement for Rural Health Clinics & Federally Qualified Health Centers, Vol. 41, No. 44
Feb 20, 2019 Long-Acting Reversible Contraceptive (LARC), Vol. 41, No. 43
Feb 15, 2019 340B Health Care Facility NDC Requirement, Vol. 41, No. 42
Feb 13, 2019 2019 Healthcare Common Procedure Coding System, Vol. 41, No. 40
Feb 06, 2019 Home Health Services, Vol 41, No. 39
Jan 31, 2019 Telehealth Originating Site Reimbursement, Vol 41, No. 38
Jan 23, 2019 Outpatient Hospital Providers Billing Pharmacy Claims - Reimbursement, Vol 41, No. 37
Jan 2, 2019 Outpatient Hospital Providers Billing Pharmacy Claims - Reimbursement, Vol 41, No. 36
Dec 26, 2018 Outpatient Surgical Procedure Reimbursement and Billing, Vol 41, No. 31
Dec 21, 2018 Outpatient Radiology Reimbursement Rate Update, Vol 41, No. 30
Dec 13, 2018 Medicare Crossover Claims, Vol 41, No. 29
Dec 11, 2018 Providers Billing Pharmacy Claims - Reimbursement, Vol 41, No. 28
Oct 25, 2018 Hospice, Vol 41, No. 26
Oct 17, 2018 ICD-10 Annual Updates, Vol 41, No. 25
Oct 12, 2018 Ordering, Prescribing and Referring Provider Requirements, Vol 41, No. 24
Oct 10, 2018 Maternal Depression Screening, Vol 41, No. 23
Oct 10, 2018 Provider Enrollment Requirement, Vol. 41, No. 22
Oct 5, 2018 Telehealth: Originating Site Reimbursement for Rural Health Clinics & Federally Qualified Health Clinics, Vol. 41, No. 21
Oct 5, 2018 Telehealth/Telemedicine, Vol 41, No. 20
Sep 21, 2018 Providers Billing Drug Claims – Prescribing Provider NPI Requirement, Vol. 41, No. 19
Sep 17, 2018 Rate Updated for Audiology and Hearing Aid Services, Vol. 41, No. 18
Sep 17, 2018 Rate Update for Optical Services, Vol. 41, No. 17
Sep 17, 2018 Rate Update for Therapy and Rehab Center Services, Vol. 41, No. 15
Aug 28, 2018 Rural Health Clinic Services in a School Setting, Vol. 41, No. 14
Aug 23, 2018 Physician Bulletin – Physician Fee Increases, Vol. 41, No. 13
Aug 23, 2018 Providers Billing Drug Claims – Maximum Daily Units, Vol. 41, No. 12
Aug 20, 2018 Fiscal Year 2019 Rate Increase for Behavioral Health, Vol. 41, No. 11
Aug 17, 2018 Telehealth - Place of Service 02, Vol. 41, No. 10
Jul 26, 2018 Ambulance Rate Increase Bulletin, Vol. 41, No. 8
Jul 19, 2018 Cures Act, Vol. 41, No. 7
Jul 16, 2018 MO HealthNet Primary Care Health Home Initiative, Vol. 41, No. 6
Jun 25, 2018 Neonatal and Pediatric Critical Care Rate Increase , Vol. 40 No. 58
May 11, 2018 Enhanced Reimbursement of Evidence-Based Treatment for Children Who Have Experienced Severe Trauma Update, Vol. 40, No.55
Apr 03, 2018 Radiology, Vol. 40, No. 53
Feb 21, 2018 Providers Billing Drug Claims - Refill Too Soon, Vol. 40, No. 49
Feb. 6, 2018 Enhanced Reimbursement of Evidence-Based Treatment for Children Who Have Experienced Severe Trauma, Vol. 40, No. 48
Feb 2, 2018 Telehealth, Vol. 40, No. 47
Jan 30, 2018 2018 Healthcare Common Procedure Coding System, Vol. 40, No. 45
Jan 29, 2018 Nursing Facilities Cost Report Changes, Vol. 40, No. 44