MedicaidDocumentationMedium impact
Case Management for Pregnant Women
Missouri Medicaid (MO HealthNet)·MO · OB-GYN, Family Medicine·Provider Notice
Effective date
Mar 3, 2023
We identified it
Jun 20, 2026
Summary
MO HealthNet now requires mandatory Risk Appraisal for Pregnant Women forms to be completed and sent to case management providers when billing global prenatal or delivery codes for at-risk pregnant women. The risk appraisal is included in global reimbursement with no additional payment.
Action Required
Immediately: Providers must complete Risk Appraisal for Pregnant Women forms during initial prenatal visits for all MO HealthNet patients before billing global prenatal or delivery procedure codes. Send completed forms directly to enrolled MO HealthNet Case Management Provider and file copies in patient medical records. Update workflow to ensure risk appraisals are performed when patient conditions change.