Medicaid MOHealthNet

Medicaid (MO HealthNet)

Keeping Informed

The MDA encourages dental providers to sign up for MO HealthNet News to receive emails directly from MO HealthNet (all bulletins, Hot Tips and other emails are sent through this distribution list). Providers will receive information about ALL MO HealthNet programs, but notifications will clearly state the program (such as dental) impacted by the change or update. Signup by visiting the website and completing the pop-up request OR provide your email under Email Updates on the right side of the page.

If you have additional questions, email Amanda Fahrendorf with MO HealthNet Education and Training Unit or call 573-751-0352. Additional resources can be found on the MO HealthNet Provider Page.

Other Helpful Links

MO HealthNet Information

Types of Coverage: Fee-For-Service (FFS) & Managed Care (MC)

Participants can be enrolled in a FFS or MC plan based on how they qualify for MO HealthNet (Missouri Medicaid). Providers will need to follow the billing, policy and prior-authorization guidelines of the plan the participant is enrolled in. Providers must bill MO HealthNet directly for FFS participants and the MC plan for patients enrolled in MC.

  • MO HealthNet Fee-For-Service (FFS) participants: Individuals with disabilities, seniors, blind and visually impaired, or women with breast or cervical cancer.
  • Missouri Managed Care (MC) participants: MO HealthNet for Families, MO HealthNet for Kids, MO HealthNet for Pregnant Women, Uninsured Women, Transitional MO HealthNet, children in care and custody of the state, children receiving adoption subsidy and Children’s Health Insurance Program (CHIP). Click here for General MO HealthNet Managed Care information. Following are the four Managed Care health plans and their dental subcontractors: 

Managed Care Plan
Healthy Blue 833-388-1407
Home State Health 855-694-4663
Show Me Healthy Kids 877-236-1020
UnitedHealthcare 866-292-0359  
Dental Contractor 
DentaQuest 800-417-7140 
Envolve 855-434-9240 
Envolve 855-434-9240 
UnitedHealthcare (in-house) 952-202-1598 

Provider Enrollment

All providers who want to treat MO HealthNet FFS or MC participants must first enroll with Missouri Medicaid Audit and Compliance (MMAC), which facilitates the MO HealthNet enrollment process.

Once the provider enrolls with MO HealthNet through MMAC, they will need to contact the MC plan they want to credential with. Each plan has its own credentialing process.

Those who participate in the MO HealthNet program agree to accept the MO HealthNet payment as reimbursement in full for all covered services. A participant cannot be billed for the difference between the MO HealthNet and the provider's billed charges.

MO HealthNet MC services are provided in accordance with the terms and conditions of the contract between MO HealthNet and the MC health plans. Participants enrolled in MO HealthNet MC plans access services through the health plan's provider network.

Questions regarding MMAC’s enrollment process should be direct to: MMAC.providerenrollment@dss.mo.gov.

21817625754