New Provider Updates 04/05/2024

New Updates have been posted to MO HealthNet

April 05, 2024 Bulletins Rate Update for Free Standing Birth Centers Effective for dates of service on or after March 1, 2024, the MO HealthNet Division (MHD) increased the free standing birth center facility fee-for-service maximum allowable rate. A free standing birth center is defined as a facility, not licensed as part of the hospital, which provides maternity care away from the mother's usual residence and where low risk births are planned following a normal, uncomplicated pregnancy. The free standing birth center facility payment includes all room charges, equipment, and supplies for the mother and baby. The facility payment is limited to one per participant per pregnancy. The physician or certified nurse midwife must submit separate claims for their professional services. Services provided before and after the delivery, such as antepartum and postpartum care, are to be billed as professional payment(s) for the physician or certified nurse midwife. MHD will reimburse the lower of the provider's billed charge or the maximum allowable amount for the date of service billed. Providers may not bill MHD at a higher rate than they charge their private pay patients. Providers must bill MHD their usual and customary rate. Read more... Hot Tips Optimizing Missouri's Managed Care Plan Benefits for Maternal and Infant Health – Cape Girardeau, April 23, 2024 April 3, 2024 Please join the MO HealthNet Division (MHD) and the MHD Managed Care Health Plans on April 23, 2024, at the Community Partnership of Southeast Missouri, 40 South Spriggs Street, Cape Girardeau. This is a unique in-person networking opportunity to showcase valuable benefits, incentives and resources available to perinatal patients and families including individualized Gestational Care Management, Group Prenatal Care, Non-Emergency Medical Transportation, and more. Review the agenda for this meeting and register today!  MO HealthNet Provider Newsletter Welcome to the First Edition! April 1, 2024 On April 1st we sent out our first quarterly MO HealthNet Provider Newsletter  The Newsletter has been added to MO HealthNet News and will be sent out quarterly. If you aren't signed up to receive MO HealthNet News, please subscribe!       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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