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MedicaidAdministrativeMedium impact

Updates to the MO HealthNet General Sections Manual

Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Nov 24, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

MO HealthNet has updated their General Sections Manual affecting all Fee-For-Service providers with changes to the Breast and Cervical Cancer Treatment program, home birth coverage for managed care members, Spend Down Program information, and Place of Service codes.

Action Required

Action needed
Immediately: Billing team should download and review the updated MO HealthNet General Sections Manual to understand changes to Place of Service codes, BCCT program requirements, and Spend Down Program procedures. Contact Provider Communications at (833) 222-7916 or via eMOMED for clarification on specific impacts to billing workflows.