The MO HealthNet Division covers the cost of hospital services including inpatient and outpatient services for MO HealthNet eligible participants. An acute inpatient service is one in which the hospital expects to provide service to the member in the hospital for a 24-hour period or longer. Outpatient hospital services are those services provided to a member not admitted by the hospital as an inpatient but is registered on the hospital records as an outpatient and receives services from the hospital.
Education & Training
- Breast and Cervical Cancer Treatment (BCCT) Expansion
- MO HealthNet Education & Training
- Hospital Billing for Dental in Outpatient Setting
Forms
Provider Manual
Resources
- Benefit Tables
- Claims & Billing
- Criteria For Post-Payment Review of Specialty Pediatric Hospital Discharges
- CyberAccess
- FAQs
- Fee Schedules
- Inpatient Stay Exemption by Diagnosis Code Table
- Laboratory Program
- MO HealthNet Inpatient APR-DRG Calculator
- Pre-Certification Criteria
- Radiology Program
- Provider Information
MO HealthNet News
The table below provides general information and updates that are relevant to this program page, as well as all MO HealthNet providers. To find information for all other MO HealthNet programs, or to search by date, program or keyword, visit the MO HealthNet News page. If you would like to receive updates in your inbox, subscribe to MO HealthNet News!
| Date | Volume Number | Subject | Type | Program |
|---|---|---|---|---|
| 11/26/2019 | Department of Health and Senior Services Lung Injury Outbreak Information | Hot Tips | All MO HealthNet Providers | |
| 10/01/2019 | 42-20 | ICD-10 Annual Update Eff Oct 2019 | Bulletins | All MO HealthNet Providers |
| 09/24/2019 | Social Security Number Removal Initiative | Hot Tips | All MO HealthNet Providers | |
| 05/31/2019 | Changes to Remittance Advice | Hot Tips | All MO HealthNet Providers | |
| 05/22/2019 | Billing Initial Hospital Care Visit Reminders | Hot Tips | Hospital | |
| 05/13/2019 | 41-53 | Outpatient Surgical Procedure Billing | Bulletins | Hospital |
| 05/13/2019 | 41-52 | Oral Surgery in Outpatient Hospital | Bulletins | Hospital |
| 04/26/2019 | Third Party Vendor Requesting Drug Prior Authorization | Hot Tips | All MO HealthNet Providers | |
| 04/09/2019 | 41-47 | 340B Health Care Facility NDC Requirement | Bulletins | Hospital |
| 02/15/2019 | 41-42 | 340B Health Care Facility NDC Requirement | Bulletins | Hospital |
| 02/15/2019 | Reimbursement Issues - Pricing Inquiry Process | Hot Tips | All MO HealthNet Providers | |
| 02/13/2019 | 41-40 | 2019 Healthcare Common Procedure Coding System | Bulletins | All MO HealthNet Providers |
| 01/31/2019 | 41-38 | Telehealth Originating Site Reimbursement | Bulletins | All MO HealthNet Providers |
| 01/23/2019 | 41-37 | Outpatient Hospital Providers Billing Pharmacy Claims Reimbursement | Bulletins | Hospital |
| 01/02/2019 | 41-36 | Outpatient Hospital Providers Billing Pharmacy Claims Reimbursement | Bulletins | Hospital |