MedicaidDocumentationMedium impact
Pharmacy Services for MO HealthNet Participants with Presumptive Eligibility - Revised
Missouri Medicaid (MO HealthNet)·MO·Pharmacy
Effective date
May 1, 2019
We identified it
Jun 20, 2026
Summary
MO HealthNet will reimburse medications dispensed to participants with presumptive eligibility during the active eligibility period shown on PE-3 or SMHB-PE authorization forms. Pharmacies must verify eligibility dates and maintain photocopies of authorization forms as adequate documentation for compliance.
Action Required
Immediately for MO providers: Verify eligibility dates on PE-3 and SMHB-PE authorization forms before dispensing medications. Make photocopies of all authorization forms and maintain in pharmacy files for audit compliance. Contact Pharmacy Administration at (573) 751-6963 with questions.