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
MHD.Education@dss.mo.gov or call (573) 751-6683. Visit
Education and Training Resources to register for training and to access additional resources.
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.
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
MHD.PharmacyAdmin@dss.mo.gov
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 CyberAccesshelpdesk@conduent.com.
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
MMAC.ProviderEnrollment@dss.mo.gov .
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
MMAC.Revalidation@dss.mo.gov
, 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 .
