Approval to implement the Missouri Substance Use Disorder and Serious Mental Illness 1115(a) Demonstration Waiver was received on December 6, 2023. Through this demonstration, the state will expand access to a full continuum of services across American Society of Addiction (ASAM) levels of care statewide for opioid use disorder (OUD) and other substance use disorders (SUD), as well as support access to a full continuum of mental health treatment services, by allowing Medicaid coverage and reimbursement for inpatient psychiatric services provided to eligible adults with SUD ages 12-64 within an IMD. Approval of the SUD program will allow the state to add Medicaid reimbursement for residential SUD services for individuals who meet medical necessity criteria, including residential SUD services in facilities that qualify as an institution for mental disease (IMD). In addition, approval of the serious mental illness (SMI) program will allow the state to add reimbursement for acute inpatient stays in an IMD.
Public Notice
Waiver Documents
- Missouri Serious Mental Illness - Section 1115 Waiver
- Missouri SMI 1115 Waiver Narrative
- Missouri Substance Use Disorder - Section 1115 Waiver
- Missouri SUD 1115 Waiver Narrative
- MO Substance Use Disorder and Serious Mental Illness 1115(a) Demonstration Waiver Demonstration Year one (1) Monitoring Report
- Serious Mental Illness/Serious Emotional Disturbance Planned Metrics
- Substance Use Disorder Demonstration Planned Metrics
Provider Manual
Education & Training
Forms
Resources
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 |
|---|---|---|---|---|
| 07/29/2014 | Bundled Value Code - Medicare UB-04 Part A Institutional Claims | Hot Tips | All MO HealthNet Providers | |
| 07/14/2014 | Provider Participant Page | Hot Tips | All MO HealthNet Providers | |
| 07/08/2014 | 37-03 | Non-Payment of State Children's Health Insurance Premium | Bulletins | All MO HealthNet Providers |
| 07/07/2014 | Scheduled Webinars for Listed Claims Types | Hot Tips | All MO HealthNet Providers | |
| 06/30/2014 | Claims Processing and Payment Schedule for Fiscal Year 2015 | Hot Tips | All MO HealthNet Providers | |
| 06/23/2014 | Contacting the Provider Education Unit | Hot Tips | All MO HealthNet Providers | |
| 06/19/2014 | 36-33 | ICD-10 Delay in Implementation Date | Bulletins | All MO HealthNet Providers |
| 06/09/2014 | Reason Some Crossover Claims do not Process Automatically | Hot Tips | All MO HealthNet Providers | |
| 06/02/2014 | Benefit Matrix | Hot Tips | All MO HealthNet Providers | |
| 05/05/2014 | Participant Administrative Lock-In | Hot Tips | All MO HealthNet Providers | |
| 04/17/2014 | 36-24 | MO HealthNet Primary Care Health Home Initiative | Bulletins | All MO HealthNet Providers |
| 04/14/2014 | Delivery and Placement Date Versus Date of Service | Hot Tips | All MO HealthNet Providers | |
| 04/07/2014 | HIPPA - Related Code Lists | Hot Tips | All MO HealthNet Providers | |
| 03/31/2014 | Double-Check Your Faxes | Hot Tips | All MO HealthNet Providers | |
| 03/24/2014 | Missouri Medicaid Audit and Compliance Notification to Providers | Hot Tips | All MO HealthNet Providers |