MedicaidAdministrativeMedium impact
Behavioral Health Services Request for Precertification
Missouri Medicaid (MO HealthNet)·MO · Psychiatry·Provider Notice
Effective date
Apr 5, 2023
We identified it
Jun 20, 2026
Summary
Providers must begin using an updated Behavioral Health Services Request for Precertification form for psychotherapy/counseling services requiring precertification. The form has minor updates with no significant content changes, but outdated forms will be returned starting May 5, 2023.
Action Required
By May 5, 2023: Billing team and behavioral health providers must switch to the new Behavioral Health Services Request for Precertification form for all psychotherapy/counseling services requiring precertification. Download the updated form and ensure staff stop using the old version. Outdated forms submitted after May 5 will be returned and delay authorization approvals.