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Missouri Department of Social Services
MO HealthNet Division

Contracts

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MO HealthNet Managed Care Health Plans

MO HealthNet Managed Care health plans contract with the State of Missouri, Department of Social Services, MO HealthNet Division (formerly known as the Division of Medical Services), to provide a managed care medical service delivery system to serve managed care enrollees meeting specified eligibility criteria.

Plan name and contract number:

Enrollment Broker

The MO HealthNet Health Benefits Manager contracts with the State of Missouri, Department of Social Services, MO HealthNet Division, to provide education, outreach, and enrollment activities for the MO HealthNet Managed Care Program.

Broker name and contract number:

External Quality Review

The EQR contractor contracts with the State of Missouri, Department of Social Services, MO HealthNet Division, to conduct an annual External Quality Review (EQR) of MO HealthNet Managed Care Organizations (MCOs). The purpose of the contract is to ensure performance by the MCOs is in accordance with state agency requirements, federal rules, protocols, and regulations.

Contractor name and contract number:

1115 Demonstration and Senate Bill 632 Evaluation

The contractor contracts with the State of Missouri, Department of Social Services, MO HealthNet Division, to design and conduct an evaluation of Missouri Medicaid's Section 1115 Health Care Reform Demonstration Waiver and Senate Bill 632.

Contractor name and contract number:

11/06/07

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Missouri Department of Social Services
221 West High Street • P.O. Box 1527
Jefferson City, MO 65102-1527

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