General Contact Information
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MOHealthNet Division Contact Information
MO HealthNet Division
615 Howerton Court
P.O. Box 6500
Jefferson City, MO 65102-6500
Telephone: (573) 751-3425
Web page:
Participant Services 800-392-2161 or 573-751-6527:
The Participant Services Unit is available for MO HealthNet participants to access an Interactive Voice Response (IVR) system that can address participant coverage, Medicare, Qualified Medicare Beneficiary (QMB), private insurance, and premium collections inquiries.
Provider Communications 573-751-2896:
The Provider Communications Unit is available for MO HealthNet providers to access an IVR system that can address participant eligibility, last two check amounts, claim status inquiries, provider enrollment status, and annual review date. The Provider Communications Unit also processes written inquiries. Written inquiries should be sent to:

Provider Communications Unit
PO Box 5500
Jefferson City, Missouri 65102
Pharmacy and Medical Pre-Certification Help Desk 800-392-8030
Providers can call this toll free number to: request a pre-certification for a radiological procedure (CAT scan and MRI); to initiate an emergency request for an essential medical service or an item of equipment that would not normally be covered under the MO HealthNet program; to request information on Medicare Part D; or, to request a drug prior authorization. The MO HealthNet fax line for non-emergency service or equipment exception requests only is (573) 522-3061; the fax line to obtain a drug prior authorization is (573) 636-6470. Do not use either of these numbers for requests for pre-certifications of MRI and CAT scan procedures.

Effective July 17, 2006, MHD implemented pre-certification for certain radiological procedures (CT and MRI). In order for providers to be reimbursed for these services, the participant must meet certain medical criteria and the physician must obtain the pre-certification for the procedure unless performed in an inpatient hospital or emergency room setting. Approved pre-certification requests are given a 14 day approval period.

The list of medical imaging procedures and durable medical equipment and supplies that currently require pre-certification along with the related medical criteria can be referenced at the MO HealthNet Web site

Before initiating a request, providers are encouraged to sign up for the MO HealthNet web tool - CyberAccess - which automates the pre-certification process. To become a CyberAccess user, contact the Conduent help desk at 1-888-581-9797 or 573-632-9797, or send an e-mail to The CyberAccess tool allows each request for pre-certification to automatically reference the individual participant's claim history, including ICD diagnosis codes and CPT procedure codes. Requests for pre-certification will also be taken by the MO HealthNet call center at 800-392-8030 option 2. Requests must meet medical criteria established by MHD in order to be approved.
Psychology Help Desk 866-771-3350
Clinical Exception, Psychology/Counseling Prior Authorizations
Provider Education 573-751-6683
Provider Education Unit staff are available to educate providers and other groups on proper billing methods and procedures for MO HealthNet claims. Contact the Unit for training information and scheduling.
Third Party Liability 573-751-2005
Call the Third Party Liability Unit to report injuries sustained by MO HealthNet participants, problems obtaining a response from an insurance carrier, or unusual situations concerning third party insurance coverage for a MO HealthNet participant.
Provider Enrollment
The Provider Enrollment Unit's page is accessed through the Missouri Medicaid Audit and Compliance website at

Providers can contact Provider Enrollment at , or through the 'Contact Us Form' on the website or by calling (573)751-3399.
Provider Revalidation
Providers can contact Provider Revalidation at , or by calling (573) 751-5238.
Wipro Infocrossing Help Desk 573-635-3559
Call this number for assistance in establishing the required electronic claims and remittance advice formats, network communication, HIPAA trading partner agreements and assistance with the Infocrossing Internet billing service. You may also contact the help desk via email at

For more information about the MO HealthNet Division and the services we provide, email us at