Missouri Department of Social Services
MO HealthNet Division

MO HealthNet Provider Hot Tip of the Week

MO HealthNet Forms

May 12, 2008

Obtaining forms for service documentation or necessary claim filing is quick and simple. All forms, including Sterilization Consent, HCY Screening, Hospice Election and Second Surgical Opinion can be easily downloaded from the Mo HealthNet Web site at http://www.dss.mo.gov/mhd/providers/index.htm. At this site, click on the 'MO HealthNet Forms' option in the left hand column.

Once completed, information from the forms such as the Sterilization Consent, Medical Necessity, Hysterectomy and Second Surgical Opinion can be entered on-line through the MO HealthNet Billing Web site at www.emomed.com; however, the paper forms must be retained in the patient's file and be available upon request by MO HealthNet.

The MO HealthNet Division provides weekly tips to providers to assist them in receiving timely reimbursement for services provided. As each new tip is posted, existing ones are archived on the same site for easy reference. Please share these weekly tips with your billing staff.

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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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