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:
Behavioral Health Services Help Desk 866-771-3350
Clinical Exception, Psychology/Counseling Prior Authorizations
Clinical Services
Clinical Services is responsible for clinical policy development for the MHD. For questions about clinical policy providers should contact or visit the Pharmacy and Clinical Services site.
Cost Recovery/Third Party Liability 573-751-2005
Contact the Third Party Liability unit at or call (573) 751-2005 to report:
  • Injuries sustained by Mo HealthNet participants
  • Questions about the estate of a deceased MO HealthNet participant
  • Problems obtaining a response from an insurance carrier
  • Unusual situations concerning third party insurance coverage for MO HealthNet participants, or the Health Insurance Premium Payment Program (HIPP)
For more information, visit the Family MO HealthNet Manual , TPL Information for Providers or take the MHD Education and Training TPL Course.
Education and Training
Education and Training instructs providers on navigating provider resources, proper billing methods and procedures for claim filing via eMOMED . Contact Education and Training at or call (573) 751-6683. Visit Education and Training Resources to register for training and to access additional resources.
FSD Spend Down Unit
Providers may submit incurred medical expenses on behalf of the participant using the MO HealthNet Spend Down Provider form . Providers should email the form, including any receipts or bills to or fax to (855) 600-3754. For questions, contact or call (855) 600-4412. Visit Spend Down Pay-In FAQs for more information.
Managed Care Plans Healthy Blue – (833) 388-1407
Home State Health – (855) 694-4663
Show Me Healthy Kids – (877) 236-1020
United Healthcare – (866) 292-0359
MO HealthNet Exceptions Unit
The MO HealthNet Exceptions Unit reviews Durable Medical Equipment (DME) or physical therapy requests that aren’t normally covered for participants over the age of 21. See Section 20 of the Provider Manual for additional information. Exception Request Forms can be found at Provider Forms . Requests can be faxed to (573) 522-3061. Call the Pharmacy and Medical Pre-Certification Help Desk at (800) 392-8030 for additional information.
Participant Services 800-392-2161
Participant Services assists participants with provider issues and questions regarding services, coverage, or unpaid bills.
  • Contact Participant Services at or by calling (800) 392-2161
  • MO HealthNet Managed Care participants should contact their health plan with questions
  • For questions about Non-Emergency Medical Transportation (NEMT), participants may call (866) 269-5927
Pharmacy Administration
Pharmacy Administration Pharmacy Administration is responsible for the pharmacy program and policy development for MHD. Contact Pharmacy Administration at or call (573) 751-6963. Fax in drug PA requests to (573) 636-6470. For more information visit Pharmacy Program Information .
Pharmacy and Medical Pre-Certification Help Desk 800-392-8030
For drug prior authorizations, call the Pharmacy and Medical Pre-Certification Help Desk at (800) 392-8030 option 3. For medical pre-certifications and drug PAs, call (800) 392-8030 or login to CyberAccess. To become a CyberAccess user, contact the Conduent help desk at: (573) 632-9797 or email
Provider Communications
Provider Communications is available to assist providers with questions about proper claim filing, claims resolution or disposition, participant eligibility and verification. Contact Provider Communications via eMOMED or by calling (573) 751-2896.
Provider Enrollment
MO HealthNet Fee-For-Service (FFS): Missouri Medicaid Audit and Compliance (MMAC) is responsible for enrolling MO HealthNet providers. To enroll as a MO HealthNet FFS provider, visit the MMAC website or email Provider Enrollment at .

MO HealthNet Managed Care: To enroll as a MO HealthNet Managed Care provider, refer to the Managed Care Provider Toolkit for contact information for each of the health plans.
Provider Revalidation
Providers can contact Provider Revalidation at , or by calling (573) 751-5238.
Provider Technical Help Desk
The Provider Technical Help Desk can provide technical assistance in establishing the required electronic claims and remittance advice formats, network communication, HIPAA trading partner agreements and eMOMED claim filing service. Contact the Help Desk at (573) 635-3559. Visit eMOMED to register.
Reporting Fraud
The Missouri Medicaid Audit & Compliance (MMAC) unit investigates allegations of fraud, waste, and abuse. Visit the MMAC website for more information on reporting fraud .