Provider Information

Welcome MO HealthNet Providers

 

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  • Pharmacy
  • PDL & clinical edit information
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  • Forms
  • Forms for MO HealthNet providers

 

 

Contact Information

Education & Training

Instructs providers on navigating provider resources, proper billing methods and procedures for claim filing. Contact at MHD.Education@dss.mo.gov or call 573-751-6683.

Managed Care Provider Communications

If providers are unable to resolve a Managed Care issue directly with a health plan, contact a Managed Care Liaison by completing a Managed Care Provider Request for Information.

Provider Communications

Call 833-222-7916 or log in to eMOMED for help with eligibility, claim filing, resolution and disposition, and participant verification. 

Managed Care Health Plans

Contact the Managed Care health plans directly to contract with them: 

 
 

MO HealthNet Participant Eligibility

MO HealthNet assigns individuals to either the Fee-For-Service program or a Managed Care health plan depending on eligibility criteria.

 

mother with two kids

Managed Care

  • Parent or guardian with child under age 19 in the home
  • Child (birth through age 18)
  • Adult (age 19-64) without a disability
  • Pregnant woman (including her unborn child)

 

man in wheelchair with a nurse

Fee-For-Service

  • Person with a disability
  • Senior (age 65 and older)
  • Blind or visually impaired adult
  • Woman (under age 65) with breast or cervical cancer