 April 12, 2024 Bulletins Pharmacy Program Reimbursement April 08, 2024 Applies to: Pharmacy Providers Effective date: April 1, 2024 Professional Dispensing Fee Due to the decrease in the Missouri Pharmacy Reimbursement Allowance (Pharmacy Tax),
the adjustment to account for the Medicaid-reimbursed prescriptions will be decreased
effective April 1, 2024. In-state pharmacy providers will continue to receive a professional
dispensing fee of $12.22, plus an adjustment to account for the cost of the Missouri Pharmacy Reimbursement Allowance attributable to Medicaid-reimbursed prescriptions. The professional dispensing fee plus the current adjusted amount will total $12.41. Out-of-state pharmacy providers will continue to receive a professional dispensing fee of
$8.85. Long-term care pharmacy providers supplying covered drugs to participants in long-
term care facilities will continue to receive an additional $0.50 dispensing fee. Read more...
April 12, 2024 Dental Program Applies to: MO HealthNet Fee-For-Service Dental Providers Effective date: April 1, 2024 - Expanding Coverage of Silver Diamine Fluoride (SDF) Treatments for Current Dental Terminology (CDT) Code D1354
- Contraindications to use of SDF
- Reimbursement of CDT D1354
- Quantity and Limitations
Expanding Coverage of SDF Treatments for CDT Code D1354
Effective for dates of service on and after April 1, 2024, the MO HealthNet Division (MHD) Fee-For-Service Dental Program is expanding coverage for CDT code D1354 (application of caries arresting medicament - per tooth) for eligible participants ages 20 and under and participants in the categories for pregnant, blind and nursing facility residents, when medically necessary.
MHD considers SDF medically necessary when the participant meets all of the following conditions: - Documented high caries-risk patient with anterior or posterior active cavitated lesions in primary or permanent teeth
- Presence of cavitated carious lesions in patients with well documented behavioral or medical management challenges
- Presence of carious lesions not able to be accessed and restored through conventional treatment
- Patient has no means to access regular routine care
- Presence of active cavitated carious lesions with no clinical signs of pulpal involvement
Clinical charting, treatment notes/operative notes, photographic images, and radiographic images documenting the conditions listed above as indications for use of SDF application must be maintained in the patient record. Read more..
Hot Tips 2024 Relias Continuing Education Courses April 11, 2024 The MO HealthNet Division (MHD) is offering FREE continuing education (CE) courses for doctors, nurses, and pharmacists. Each learning course is created and presented by Relias and are available to you so you can earn continuing education on your own time. View the 2024 Relias Continuing Education Courses for the schedule and specific instructions on how to access the learning courses. Additional Relias learning courses will be added throughout the calendar year. The following courses are available now in the MHD Training Academy: - Implicit Bias for the Healthcare Professional
- A Client's Experience of Trauma-Informed Care
- Medication Error Prevention
- Pain Management: Complimentary Approaches
- Sexually Transmitted Infections: Assessment and Treatment
- Pulmonary Emergencies
Visit the MHD Education and Training Resources page to view the calendar and register for additional trainings offered by MHD.
Contact Us | 
No comments:
Post a Comment
Keep a civil tongue.