Approval to implement the Missouri Substance Use Disorder and Serious Mental Illness 1115(a) Demonstration Waiver was received on December 6, 2023. Through this demonstration, the state will expand access to a full continuum of services across American Society of Addiction (ASAM) levels of care statewide for opioid use disorder (OUD) and other substance use disorders (SUD), as well as support access to a full continuum of mental health treatment services, by allowing Medicaid coverage and reimbursement for inpatient psychiatric services provided to eligible adults with SUD ages 12-64 within an IMD. Approval of the SUD program will allow the state to add Medicaid reimbursement for residential SUD services for individuals who meet medical necessity criteria, including residential SUD services in facilities that qualify as an institution for mental disease (IMD). In addition, approval of the serious mental illness (SMI) program will allow the state to add reimbursement for acute inpatient stays in an IMD.
Public Notice
Waiver Documents
- Post Award Forum Presentation
- Missouri Substance Use Disorder - Section 1115 Waiver
- Missouri Serious Mental Illness - Section 1115 Waiver
- Substance Use Disorder Demonstration Planned Metrics
- Serious Mental Illness/Serious Emotional Disturbance Planned Metrics
Provider Manual
Education & Training
Forms
Resources
MO HealthNet News
The table below provides general information and updates that are relevant to this program page, as well as all MO HealthNet providers. To find information for all other MO HealthNet programs, or to search by date, program or keyword, visit the MO HealthNet News page. If you would like to receive updates in your inbox, subscribe to MO HealthNet News!
| Date | Volume Number | Subject | Type | Program |
|---|---|---|---|---|
| 06/24/2020 | COVID-19: Co-Payment - Revised | Hot Tips | All MO HealthNet Providers | |
| 06/10/2020 | Participant Liability (Balance Billing) | Hot Tips | All MO HealthNet Providers | |
| 06/03/2020 | COVID-19: Temporary Licensing for Dental Providers | Hot Tips | All MO HealthNet Providers | |
| 05/28/2020 | COVID-19: COVID Testing and Specimen Collection Codes | Hot Tips | All MO HealthNet Providers | |
| 05/21/2020 | COVID-19: Radiology (Diagnosis Codes Added) - Revised | Hot Tips | All MO HealthNet Providers | |
| 05/21/2020 | COVID-19: Telehealth Services Covered Speech Therapy, Physical Therapy, and Occupational Therapy | Hot Tips | All MO HealthNet Providers | |
| 05/20/2020 | COVID-19: Long-Acting Reversible Contraceptive (LARC) | Hot Tips | All MO HealthNet Providers | |
| 05/15/2020 | COVID-19: Pharmacy Copayment Exemption Clarification | Hot Tips | All MO HealthNet Providers | |
| 05/15/2020 | COVID-19: Home Health Program - Revised | Hot Tips | All MO HealthNet Providers | |
| 05/14/2020 | COVID-19: Specimen Collection for Outpatient Services | Hot Tips | All MO HealthNet Providers | |
| 05/11/2020 | COVID-19: DME - Signature Requirements | Hot Tips | All MO HealthNet Providers | |
| 05/06/2020 | COVID-19: Pharmacy Copayment Exemption | Hot Tips | All MO HealthNet Providers | |
| 04/29/2020 | COVID-19: Private Duty Nursing Services | Hot Tips | All MO HealthNet Providers | |
| 04/22/2020 | COVID-19: 1135 Waiver Implementation for Pre-Admission Screening and Resident Review (PASRR) | Hot Tips | All MO HealthNet Providers | |
| 04/22/2020 | Checking Elgibility | Hot Tips | All MO HealthNet Providers |