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ORDERING, PRESCRIBING, AND REFERRING (OPR) PROVIDER UPDATE

July 27th, 2017

Current state and federal regulations (13 CSR 65-2 and 42 CFR 455.410) require ordering, prescribing or referring (OPR) providers to enroll with Medicaid, even if they do not accept Medicaid.  In response, MO HealthNet  has begun implementing changes in the … Continued

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REMINDER: NOTICE OF OPPORTUNITY TO COMMENT: EXECUTIVE ORDER 17-03 – DSS RULE REVIEW

July 25th, 2017

Missouri Medicaid Audit and Compliance (MMAC), as part of the Department of Social Services (DSS) and in response to Governor Eric Greitens’ Executive Order 17-03, encourages public input on DSS’ Administrative Rules.   Please click here to view the dates, … Continued

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ENROLLMENT OF MANAGED CARE NETWORK PROVIDERS

July 19th, 2017

Beginning January 1, 2018, according to federal regulation 42 CFR 438.602, states must screen and enroll, and periodically revalidate, all network providers of managed care organizations.  This requirement applies to ordering, prescribing, and referring “OPR” providers in the managed care … Continued

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MISSOURI MEDICAID AUDIT AND COMPLIANCE: RULES REVIEW

July 13th, 2017

Missouri Medicaid Audit and Compliance (MMAC), as part of the Department of Social Services (DSS) and in response to Governor Eric Greitens’ Executive Order 17-03, encourages public input on DSS’ Administrative Rules.   Please click here to view the News … Continued

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EXTENDED WOMEN’S HEALTH SERVICES PROGRAM UPDATE:

July 12th, 2017

Extended Women’s Health Services cover family planning-related services, pregnancy testing, sexually transmitted disease testing and treatment, including pap tests and pelvic exams, and follow-up services.  They are covered by MO HealthNet for uninsured women who are 18-55 years of age … Continued

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