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
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, 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
June 30, 2021 Behavioral Health Services in a Mobile Unit, Vol 43, No. 47
June 30, 2021 Pharmacy Program Reimbursement, Vol 43, No. 46
June 9, 2021 School Psychologists, Vol 43, No. 45
June 7, 2021 340B Provider Reimbursement, Vol 43, No. 44
May 28, 2021 Treatment of Dysphagia (CPT 92526), Vol 43, No. 34
May 27, 2021 Electronic Visit Verification Aggregator Solution Contract Awarded, Vol 43, No. 33
May 24, 2021 Medication Therapy Monitoring Services, Vol 43, No. 32
May 13, 2021 Prescription Drug Monitoring Program, Vol 43, No. 31
May 11, 2021 Cardiology, Vol 43, No. 30
Apr 29, 2021 Dental Program, Vol 43, No. 29
Apr 14, 2021 E0466RR - Home Non-Invasive Ventilator, Vol 43, No. 28
Apr 14, 2021 Private Duty Nursing Program, Vol 43, No. 27
Apr 13, 2021 Outpatient Simplified Fee Schedule, Vol 43, No. 26
Apr 12, 2021 Telemedicine - Behavioral Health Services in Residential and Inpatient Settings, Vol 43, No. 25
Apr 12, 2021 COVID-19 Vaccine-REVISED, Vol 43, No. 24
Mar 31, 2021 Tubed Insulin Pump Criteria, Vol 43, No. 23
Mar 4, 2021 2021 Health Care Common Procedure Coding System, Vol 43, No. 22
Mar 3, 2021 REVISED - Monoclonal Antibody COVID-19 Infusion, Vol 43, No. 21
Mar 3, 2021 A4606NUEP - Oxygen Probe Used w/Oximeter, Disposable, Vol 43, No. 20
Feb 11, 2021 Money Follows the Person Program, Vol 43, No. 19
Feb 8, 2021 Monoclonal Antibody COVID-19 Infusion, Vol 43, No. 18
Feb 2, 2021 CAR-T Cell Therapy, Vol 43, No. 17
Jan 13, 2021 Pharmacy Program Reimbursement, Vol 43, No. 16