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Reminder of Precertification Requirements for Behavioral Health, Psychotherapy Services

Missouri Medicaid (MO HealthNet)·MO · Psychiatry·Provider Notice
Effective date
Sep 7, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

MO HealthNet (Missouri Medicaid) now requires precertification for most behavioral health and psychotherapy services for children/youth ages 3-20 and all services for children 0-2 (except diagnostic evaluation). Claims submitted without required precertification will be denied, including telemedicine services.

Action Required

Action needed
Immediately: Billing team must update system to require precertification for CPT codes 90832, 90834, 90837, 90846, 90847, 90849, 90853 for MO HealthNet patients. Implement precertification checks for: 1) All services for children 0-2 except diagnostic evaluation, 2) Psychotherapy beyond 14 hours for children/youth 3-20 not in state custody, 3) All covered services for foster care children. Contact MHD.Education@dss.mo.gov for questions. Claims without precertification will be denied.

Affected Billing Codes

90832
90834
90837
90846
90847
90849
90853