MO HealthNet Division Provider Bulletins

The MO HealthNet Program publishes provider bulletins as necessary to clarify existing program and policy or explain new policy.

Bulletin Indices

Issue Date Provider Bulletin Description
Sep 21, 2023 Prior Authorization Process – Residential Treatment and Treatment Foster Care Vol 46, No. 17
Sep 6, 2023 Psychiatric Residential Treatment Facilities’ Responsibilities – Annual Attestation Statements Vol 46, No. 16
Sep 5, 2023 Durable Medical Equipment Program Vol 46, No. 15
Aug 30, 2023 Personal Care School-Based Services Vol 46, No. 14
Aug 25, 2023 Provider Inquiries Vol 46, No. 13
Aug 24, 2023 Personal Care Updates Vol 46, No. 12
Aug 18, 2023 Prior Authorization Process – Residential Treatment and Treatment Foster Care Vol 46, No. 11
Aug 9, 2023 Ambulatory Surgical Center (ASC) Fee Schedule Vol 46, No. 10
Aug 1, 2023 Rate Increase – Private Psychiatric Residential Treatment Facility Vol 46, No. 09
July 25, 2023 Rate Increase – Residential Treatment & Treatment Foster Care Vol 46, No. 08
July 24, 2023 Private Duty Nursing for Children, Vol 46, No 07
July 21, 2023 COVID-19 Vaccine Administration Procedures, Vol 46, No 06
July 17, 2023 Rate Update for DHSS-Authorized Home and Community-Based Services, Vol 46, No. 05
July 11, 2023 School-Based IEP Direct Services Providers, Vol 46, No. 04
July 1, 2023 Automatic Refill Program, Vol 46, No. 03
July 1, 2023 Pharmacy Program Reimbursement, Vol 46, No. 02
July 1, 2023 Annual Outpatient Hospital Simplified Fee Schedule Rate Update Bulletin, Vol 46, No. 01
June 28, 2023 Applied Behavior Analysis: Precertification Limits, Vol 45, No. 46
June 14, 2023 DURABLE MEDICAL EQUIPMENT (DME) PROGRAM, Vol 45, No. 45
May 22, 2023 UROLOGICAL SUPPLIES - BILLING UPDATE, Vol 45, No. 44
May 04, 2023 PRECERTIFICATION UPDATE FOR SCHOOL-BASED BEHAVIORAL HEALTH SERVICES, Vol 45, No. 43
Apr 21, 2023 ELECTRONIC VISIT VERIFICATION, Vol 45, No. 42
Apr 01, 2023 MO HealthNet Fee-For-Service Dental Providers, Vol 45, No. 41
Mar 30, 2023 Applied Behavior Analysis (ABA) Update, Vol 45, No. 40
Mar 16, 2023 Medication Therapy Management and Direct Care Pro, Vol 45, No. 39
Feb 27, 2023 2023 CODE ON DENTAL PROCEDURES AND NOMENCLATURE (CDT) ADDITIONS/CHANGES, Vol 45, No. 38
Feb 9, 2023 2023 HEALTHCARE COMMON PROCEDURE CODING SYSTEM (HCPCS), Vol 45, No. 37
Jan 05, 2023 DENTAL PROGRAM, Vol 45, No. 36
Jan 05, 2023 NON-EMERGENCY MEDICAL TRANSPORTATION, Vol 45, No. 35
Dec 29, 2022 Prior Authorization Process for Residential and Treatment Foster Care, Vol 45, No. 34
Dec 28, 2022 Residential Billing Update - Above Level 4, Vol 45, No. 33
Dec 22, 2022 Womens Health Services Program, Vol 45, No. 32
Nov 30, 2022 HIPAA X12 835 Remittance Advice Transactions, Vol 45, No. 31
Nov 29, 2022 2023 Hospice Rate Update, Vol 45, No. 30
Nov 30, 2022 Unattended Sleep Studies, Vol 45, No. 29
Nov 10, 2022 REVISED Private Psychiatric Residential Treatment Facilities: Billing Instructions, Vol 45, No. 28
Nov 02, 2022 Dental Program, Vol 45, No. 27
Oct 24, 2022 Private Duty Nursing for Children, Vol 45, No. 26
Oct 11, 2022 Determination of Institution for Mental Disease (IMD) Status of Residential Treatment Agencies for Children and Youth, Vol 45, No. 25
Sep 15, 2022 HIPAA X12 835 Remittance Advice Transactions, Vol 45, No. 24
Sep 09, 2022 Durable Medical Equipment (DME) Urological Changes, Vol 45, No. 23
Aug 31, 2022 Nursing Home Program - Revised, Vol 45, No. 22
Aug 24, 2022 Home Health Program, Vol 45, No. 21
Aug 19, 2022 Outpatient Billing for Spravato, Vol 45, No. 20
Aug 17, 2022 National Correct Coding Initiative (NCCI) Medically Unlikely Edits (MUE), Vol 45, No. 19
Aug 05, 2022 Pediatric Vaccine Counseling, Vol 45, No. 18
July 29, 2022 Ambulatory Surgical Center Fee Increases, Vol 45, No. 17
July 29, 2022 Physician Fee Increases, Vol 45, No. 16
July 29, 2022 Rate Update For Dental Services, Vol 45, No. 15
July 29, 2022 Rate Update For Audiology Services, Vol 45, No. 14
July 29, 2022 Rate Update For Optical Services, Vol 45, No. 13
July 29, 2022 Physical, Occupational, and Speech Therapy Rate and Quantity Adjustment, Vol 45, No. 12
July 29, 2022 Telemedicine Originating Site Rate Increase, Vol 45, No. 11
July 29, 2022 Ambulance Mileage And Treat No Transport Rate Increase, Vol 45, No. 10
July 28, 2022 Show Me Healthy Kids – Billing Practices for Residential Facilities and Treatment Foster Care Providers, Vol 45, No. 09
July 25, 2022 Rate Update Behavioral Health - Revised, Vol 45, No. 08
July 12, 2022 Prior Authorization Removal, Vol 45, No. 07
July 12, 2022 Provider Credentialing with Show Me Health Kids Managed by Home State Health, Vol 45, No. 06
July 1, 2022 Private Psychiatric Residential Treatment Facilities: Billing Instructions, Vol 45, No. 05
July 1, 2022 Personal Care and Private Duty Nursing School-Based Individualized Education Plan (IEP) Direct Services, Vol 45, No. 04
July 1, 2022 Rate Update of DHSS-Approved Home and Community-Based Services, Vol 45, No. 03
July 1, 2022 Rate Update for Home Health Services, Vol 45, No. 02
July 1, 2022 Provider Rate Increases, Vol 45, No. 01
Jun 28, 2022 Outpatient Simplified Fee Schedule, Vol 44, No. 52
Jun 23, 2022 Pharmacy Program Reimbursement, Vol 44, No. 51
Jun 23, 2022 Creation Of New ME Codes , Vol 44, No. 50
Jun 10, 2022 Show Me Healthy Kids Enrollment and Credentialing of Residential Facilities and Treatment Foster Care Providers, Vol 44, No. 49
Jun 1, 2022 Transcranial Magnetic Stimulation for Major Depressive Disorder - Revised, Vol 44, No. 48
May 5, 2022 Rate Correction for Applied Behavior Analysis (ABA) Services, Vol 44, No. 47
May 5, 2022 Dental Program, Vol 44, No. 46
Apr 20, 2022 Durable Medical Equipment (DME) Program, Vol 44, No. 45
Mar 31, 2022 Pharmacy Program Reimbursement, Vol 44, No. 44
Mar 25, 2022 Behavioral Health Services Update: Group Psychotherapy, Vol 44, No. 43
Mar 22, 2022 COVID-19 Vaccine, Vol 44, No. 42
Mar 10, 2022 Private Duty Nursing, Vol 44, No. 41
Feb 14, 2022 2022 Code on Dental Procedures and Nomenclature (CDT) Additions/Changes, Vol 44, No. 40
Feb 4, 2022 2022 Healthcare Common Procedure Coding System (HCPCS), Vol 44, No. 39
Feb 4, 2022 Professional Component of Clinical Pathology Services, Vol 44, No. 38
Feb 3, 2022 Psychiatric Residential Treatment Facilities: Requirements for Admission and Continued Stay, Vol 44, No. 37
Jan 21, 2022 Dental Program, Vol 44, No. 36
Jan 14, 2022 “Safe At Home” Patient Safety Opioid Initiative, Vol 44, No. 35
Dec 30, 2021 COVID-19 Vaccine, Vol 44, No. 34
Dec 30, 2021 Therapy Habilitative Services, Vol 44, No. 33
Dec 21, 2021 Psychiatric Residential Treatment Facilities: Certification and Enrollment - Revised, Vol 44, No. 32
Nov 24, 2021 Physician and Outpatient Habilitative Services, Vol 44, No. 31
Nov 19, 2021 Monoclonal Antibody COVID-19 Infusion, Vol 44, No. 30
Nov 19, 2021 COVID-19/Flu/RSV Testing, Vol 44, No. 29
Nov 15, 2021 Nursing Facilities and Hospice Providers, Vol 44, No. 28
Nov 10, 2021 Adult Expansion Group – ME Code E2, Vol 44, No. 27
Nov 5, 2021 Private Duty Nursing Webinar, Vol 44, No. 26
Nov 3, 2021 Products Reimbursed Under the Nursing Home Per Diem, Vol 44, No. 25
Oct 28, 2021 Home Health Program, Vol 44, No. 24
Oct 22, 2021 Transcranial Magnetic Stimulation for Major Depressive Disorder, Vol 44, No. 23
Oct 21, 2021 Annual Hospice Rate Change, Vol 44, No. 22
Oct 13, 2021 Psychiatric Residential Treatment Facilities: Certification and Enrollment, Vol 44, No. 21
Oct 12, 2021 Private Duty Nursing Multiple Provider Coordination, Vol 44, No. 20
Oct 7, 2021 ICD-10 Annual Updates, Vol 44, No. 19
Sept 29, 2021 COVID-19 Vaccine, Vol 44, No. 18
Sept 28, 2021 Pharmacy Program Reimbursement, Vol 44, No. 17
Sept 27, 2021 Update for Evidence-Based Treatment of Children Who Have Experienced Severe Trauma, Vol 44, No. 16
Sept 21, 2021 HCBS Enhanced Spend Plan: CMS Approval of FY22 Rate Appropriations, Vol 44, No. 15
Sept 21, 2021 Nonemergency Medical Transportation (NEMT) for Vaccines, Vol 44, No. 14
Sept 13, 2021 Ambulance Program Rate Adjustment and Mass Adjustments, Vol 44, No. 13
Sept 8, 2021 Biopsychosocial Treatment of Obesity, Vol 44, No. 12
Sept 7, 2021 Behavioral Health Services Update for Diagnostic Assessment and Psychological Testing, Vol 44, No. 11
Aug 17, 2021 Ambulance Program Rate Increase/Mass Adjustment, Vol 44, No. 10
Aug 16, 2021 Caregiver Identifier for Electronic Visit Verification, Vol 44, No. 09
Aug 3, 2021 Structured Family Caregiving Waiver, Vol 44, No. 08
July 23, 2021 Ambulance Program, Vol 44, No. 07
July 20, 2021 Maximum Allowable Rate Increase For Personal Care And Private Duty Nursing School-Based IEP Direct Services, Vol 44, No. 06
July 19, 2021 Electronic Visit Verification Vendor Registration, Vol 44, No. 05
July 14, 2021 Implementation of the Electronic Visit Verification (EVV) Aggregator Solution, Vol 44, No. 04
July 12, 2021 Maximum Allowable Rate Increase for DHSS Home and Community-Based Services, Vol 44, No. 03
July 12, 2021 Rate Update for Applied Behavior Analysis Services, Vol 44, No. 02
July 9, 2021 Outpatient Simplified Fee Schedule - REVISED, Vol 44, No. 01