Get Mo Mmac Addendum To The Nursing Home Provider Agreement 2014-2025

Providers can direct questions regarding Self Disclosures to the MMAC Financial Section at mmac.financial@dss.mo.gov or by calling 573-751-3399.

Prior authorization is not required for emergency or urgent care. Out-of-network physicians, facilities and other health care providers must request prior authorization for all procedures and services, excluding emergent or urgent care.

Call the provider and ask them to bill MO HealthNet. If the provider still bills you, send the bill or a copy of the bill to the Participant Services Unit, P.O. Box 3535, Jefferson City, MO 65102. Include a note with the patient name and MO HealthNet number.

In general, MO HealthNet covers low-income children; their parents, guardians, or caretakers; and aged, blind, or disabled individuals. Nevertheless, certain income and resource criteria must be met as well. Income criteria are largely based on poverty guidelines established by the federal government.

Who is eligible for Medicaid in Missouri? Adults under age 65: are eligible for Medicaid with household income up to 138% of the poverty level. Infants under one are eligible for Medicaid if their household income is up to 201% of poverty. ... Children 1 – 18 are eligible if their household income is up to 155% of poverty.

The claim must be received by the fiscal agent or state agency, within six months of the date of Explanation of Medicare Benefits (EOMB) of the allowed claim, or within 12 months of the date of service.

Missouri Medicaid (MO HealthNet) Managed Care Health Plans: ... MO HealthNet Case Information: 800-392-1261. MO HealthNet Constituent Services: 800-392-2161. MO HealthNet Service Center: 855-373-4636. Managed Care Enrollment Helpline: 800-348-6627. Third Party Liability Unit: 573-751-2005. MO HealthNet Division: 573-751-3425.

Providers may submit claims via the Internet. The web site address is .emomed.com. Providers are required to complete the on-line Application for MO HealthNet Internet Access Account. Please reference http://dss.missouri.gov/mhd/providers and click on the Apply for Electronic/Internet System Access link.