24 hours ago Welcome to the New MO HealthNet Web Portal. The complete source for all MO HealthNet Participant and Provider related services. Find everything you need from one convenient portal! ERA Enrollment. Provider Sign up for Electronic Remittance Advice (ERA) Click Here! Login. >> Go To The Portal
MO HealthNet individuals receive their care through either the fee-for-service (FFS) delivery system or the Managed Care delivery system, depending on where the individual lives in the state. MO HealthNet benefits are available to those persons who are determined eligible for the following types of assistance.
With HealthNet's Patient Portal you have access to all of those things and more including: The patient portal should not be used in emergencies. If you are having a medical emergency, please call 911. For urgent or same day medical needs, please call your health center.
The participants who are eligible for inclusion in MO HealthNet Managed Care health plans are divided into three groups: Parents/Caretaker, Children, Pregnant Women, and Refugees Other MO HealthNet Children who are in the care and custody of the State of Missouri and receiving adoption subsidy assistance
Our front desk staff will be assisting you in creating a portal user ID. With this ID, you will be able to request an appointment, request and access copies of labs and records, and update your demographic and insurance information. To access the Patient Portal, click here.
HealthNet offers you easy, safe and secure access to your health care from your computer or smartphone. Want a copy of your shot records? Have a non-urgent question for your care team? Do you need to refill your medicine? With HealthNet's Patient Portal you have access to all of those things and more including:
Healow is the Patient Portal for your phone! Enjoy different apps for different stages of your life. Download the app from Google Play or the iPhone app store! Once you have downloaded the app, find HealthNet by using the code AIHGAA.
The MO HealthNet Pharmacy and Clinical Services Program oversees outpatient prescription drug reimbursement for fee-for-service eligibles. Effective January 1, 1991, the Omnibus Budget Reconciliation Act of 1990 (OBRA-90) pharmacy provisions significantly expanded the coverage to include reimbursements for all drug product of manufacturers who have entered into a rebate agreement with the Federal Department of Health and Human Services (HHS) and that are dispensed by qualified providers. States have the authority for certain exceptions and to exclude from coverage certain specified categories of drugs. In addition, OBRA-90 included provisions requiring both a prospective and retrospective drug use review program.
With the passage of Senate Bill 577, The Missouri Health Improvement Act of 2007, effective September 1, 2007, the division’s name changed to the MO HealthNet Division (MHD). The Family Support Division within the Department of Social Services determines participant eligibility for the MO HealthNet programs.
Under the Supplemental Nursing Care Program (also known as cash grant), individuals meeting eligibility requirements as determined by the Family Support Division (FSD) and residing in a Residential Care Facility (RCF), licensed but not Title XIX (MO HealthNet) certified, may receive a cash payment. The maximum cash payment by FSD is established by Missouri statute. All assistance payments to persons in this cash grant program are entirely from state funds. Being eligible to receive a cash payment also allows the participant to be eligible for MO HealthNet services.
TEMP is "state only" from the time a participant is found ineligible for regular MO HealthNet until the end of the TEMP eligibility period. Presumptive Eligibility for Children — Provides a period of presumptive eligibility to children in families with income below 150% of the FPL.
Children ages 1-5 are eligible at 148% of the poverty level. Children age 6-18 are eligible at 100% of the poverty level. Uninsured children in families with income above Medicaid poverty standards may qualify for MO HealthNet for Kids (SCHIP) if their family’s gross income is below 300% of the FPL.
The Early Periodic Screening, Diagnosis and Treatment (EPSDT) program was renamed the Healthy Children and Youth (HCY) Program in Missouri. The HCY program provides services for eligible children and youth, age 0-20 years. The changes were the result of federal legislation contained in the Omnibus Reconciliation Act of 1989 (OBRA 89).
Effective September 1, 1995, the state of Missouri introduced a new health care delivery program called MC+ Managed Care to serve certain participants that meet specified eligibility criteria. The goal is to improve the accessibility and quality of health care services for Missouri’s MO HealthNet and state aid eligible populations, while reducing the costs of providing that care. The state intends to achieve this goal by enrolling eligible participants in MO HealthNet Managed Care health plans that contract with the state to provide a specified scope of benefits to each enrolled participant in return for a capitated payment made on a per member, per month basis.
Get the care you need from a doctor you choose. There are no copays for primary care provider (PCP) visits, specialists, behavioral health care, urgent care services and labs.
We want you to see clearly. Vision benefits include an annual eye exam and glasses (every year for kids; every two years for adults).
Healthy Blue offers additional benefits just for our members, like Boy and Girl Scout memberships and breast pumps for pregnant members.
Visit our COVID-19 Resource Center for more information. Stay informed - activate your online account.
A strong provider network. Our plan includes hundreds of doctors and hospitals to make access to care easy.
Everyone needs a little extra help sometimes. We made it easier for you to find free or low-cost local services, so you can get the help you need with housing, food, education, financial assistance, and even jobs. Find local resources