MedicaidAdministrativeLow impact
Pharmacy Services for Participants with Presumptive Eligibility
Missouri Medicaid (MO HealthNet)·MO·Pharmacy
Effective date
Feb 26, 2018
We identified it
Jun 20, 2026
Summary
Missouri MO HealthNet has updated procedures for pharmacy services for participants with presumptive eligibility. Pharmacies must verify eligibility dates on PE-3 and SMHB-PE authorization forms, maintain photocopies for documentation, and can receive reimbursement for medications dispensed within the active eligibility period.
Action Required
Pharmacy staff must verify eligibility dates on MO HealthNet Presumptive Eligibility Authorization (PE-3) forms and Show Me Healthy Babies Presumptive Eligibility (SMHB-PE) forms before dispensing medications. Make photocopies of authorization forms and maintain in pharmacy files for eligibility documentation. Contact Pharmacy Administration at (573) 751-6963 with questions.