The Medicare/Medicaid Claims Processing manual contains information pertaining to MO HealthNet Medicare and Medicaid Claims Processing.
Education & Training
- MO HealthNet Education & Training
- Claim Filing Samples
- Inpatient Medicare Part A Crossover Claim Filing on eProvider
- Medical CMS-1500 with Other Payer
- Medicare Part B Crossover Claim Filing
- Medicare Part B of A Crossover Claim Filing
- Medicare Part C ~ QMB claim filing
- Medicare Part C NON ~ QMB claim filing
- Medicare: Medical CMS-1500 Crossover Training March 2025
Forms
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 |
|---|---|---|---|---|
| 09/27/2022 | Telemedicine: Here to Stay! | Hot Tips | All MO HealthNet Providers | |
| 09/19/2022 | Reminder for Children's Division Residential and Treatment Foster Care Providers | Hot Tips | All MO HealthNet Providers | |
| 09/15/2022 | 45-24 | HIPPA X12 835 Remittance Advice Transactions | Bulletins | All MO HealthNet Providers |
| 08/31/2022 | New Resources and Training Materials for Providers | Hot Tips | All MO HealthNet Providers | |
| 08/30/2022 | Health Help On-Demand Training Sessions! | Hot Tips | All MO HealthNet Providers | |
| 08/25/2022 | 1915(c) Home and Community-Based Waivers (HCBS) Department of Health and Senior Services (DHSS) Waivers | Hot Tips | All MO HealthNet Providers | |
| 08/25/2022 | RSV Prophylaxis | Hot Tips | All MO HealthNet Providers | |
| 08/17/2022 | 45-19 | National Correct Coding Initiative Medically Unlikely Edits | Bulletins | All MO HealthNet Providers |
| 07/29/2022 | 45-11 | Telemedicine Originating Site Rate Increase | Bulletins | All MO HealthNet Providers |
| 07/18/2022 | Telemedicine (Update) | Hot Tips | All MO HealthNet Providers | |
| 07/14/2022 | Immunizations for Dual Eligible Participants (Update) | Hot Tips | All MO HealthNet Providers | |
| 07/14/2022 | Long-Acting Reversible Contraception (LARC) Devices for Dual Eligible Participants | Hot Tips | All MO HealthNet Providers | |
| 07/08/2022 | Proper Billing for Drugs Billed to MO HealthNet | Hot Tips | All MO HealthNet Providers | |
| 07/01/2022 | 45-07 | Prior Authorization Removal | Bulletins | All MO HealthNet Providers |
| 07/01/2022 | 44-06 | Provider Credentialing with Show Me Healthy Kids Managed by Home State Health | Bulletins | All MO HealthNet Providers |