New Provider Updates

New Provider Hot Tips and MO Pharmacy Clinical Edits have been posted to MO HealthNet

Having trouble viewing this email? View it as a Web page. May 19, 2023 Hot Tips MO HealthNet Case Management for Pregnant Women May 18, 2023 MO HealthNet Education and Training is hosting a webinar to discuss case management for pregnant women on Medicaid. The webinar will review resources, policy and billing information for providers. Please join us on Thursday, June 22, 2023 at 10:00 am. Register today! Missouri Pharmacy Clinical Edits MO HealthNet is required to complete an annual review of all drug coverage criteria per 13 CSR 70-20.200 Drug Prior Authorization Process. Please visit Web Page:https://dss.mo.gov/mhd/cs/pharmacy/pages/clinedit.htm  Annual updates: ADHD, Amphetamines Long Acting PDL Edit ADHD, Amphetamines Short Acting PDL Edit ADHD, Methylphenidate Long Acting PDL Edit ADHD, Methylphenidate Short Acting PDL Edit ADHD, Non-Stimulants PDL Edit Biosimilar vs Reference Products Fiscal Edit Prior Authorization Required Fiscal Edit Skeletal Muscle Relaxants PDL Edit 15 Day Supply – Oral Oncology Fiscal Edit Contact Us For questions about pharmacy or MORx, please email: MHD.PharmacyAdmin@dss.mo.gov. For questions about psychology, exceptions, or medical pre-certifications, please email: Clinical.Services@dss.mo.gov For all other questions or comments, please email: Ask.MHD@dss.mo.gov Our Mission: Empower Missourians to live safe, healthy, and productive lives.     Note: replies to this email address will not be monitored.

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