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Overview & Resources

Missouri Care was developed to ensure the provision of high-quality, cost-effective, outcome-oriented care to Missouri MO HealthNet managed care members. We realize that the successful pursuit of these goals requires the active participation of a committed provider network. The information on this website will help you navigate through provider responsibilities, the secure provider portal and more.

Medical Expense Initiative

In 2016, edits will be derived directly from the state and national Medicaid editing guidelines. This will save money on vendor fees and additional costs each year. To learn more, please review the National and State-level Medicaid rules.

Resources


Get detailed health plan information on important topics such as coverage procedures and policies.

Contains key phone numbers and information on claims, appeals and more.

Details the various tools available to help providers do business with Missouri Care.

How to quickly get in touch with Missouri Care to get your questions answered.

ProgenyHealth Frequenetly Asked Questions

Newsletters

Docs
March 01, 2018

Issue I 2018 Newsletter

CDC Recommendations for the Prescribing of Opioid Pain Medications

Claims Payment Policy image
May 01, 2018

Issue II 2018 Provider Newsletter

How Case Management Can Help You

physicians
August 01, 2017

Issue 3 2017 Provider Newsletter

Good news! WellCare has improved the way it pays Annual Wellness Exams and Additional Annual Physicals.

People with prescriptions
December 01, 2017

Issue 4 2017 Provider Newsletter

We would like to ensure our Providers are aware of the appropriate process for requesting Members to be removed from their patient panel. Primary Care Physicians (PCPs) may request that a Member be removed from their patient panel if the physician feels that the Member is non-compliant with the physician’s treatment plan or plan of care, if there is evidence of abusive or inappropriate behavior, or if the physician is unable to adequately address the Member’s needs.

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Last Updated On: 4/27/2017