Frequently Asked Questions
Am I eligible?
Find out if you are eligible.
I cannot find my provider (PCP). What should I do?
During open enrollment, providers (PCP’s) are added to the website daily. If you don’t see your PCP, please check again in a day or two.
Is the application form difficult? What information will I need?
No, the form is one page, front and back, and can be mailed or phoned in. You’ll need social security numbers, proof of income (pay stub, federal income tax form, etc.) and immigration status.
Who can I call for help with filling out my application?
Call toll-free 1-888-275-5908 for help completing your MO HealthNet Managed Care application.
How will I know if they have all my information? What if I don’t have a phone?
After reviewing your application, MO HealthNet will contact you if they need more information. If you don’t have a phone, call them toll-free at 1-888-275-5908 a few days after you submit your application.
When will I know if my application has been approved?
It takes about one month to process an application. You’ll be notified in writing after a decision has been made.
How To Reach Utilization Review
Call your doctor if you think you need health care services. Some services may need review by Home State Health before they are given. The Home State Health Utilization Management Team does this review. You can call Member Services at 1-855-694-HOME (4663) (TDD/TTY: 1-877-250-6113) to see if something needs to be reviewed by Home State Health.
Emergency health care DOES NOT need to be approved before being given.
How Health Care Authorization Decisions Are Made
Home State Health reviews health care service requests to make sure they are medically necessary. This means getting the right care, at the right place, and at the right time. Home State Health uses standard guidelines to check medical necessity. Home State Health does not reward its staff or its network providers to deny care or encourage decisions that result in underutilization.
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Approval Date: March 18, 2014
Approval Code: HSHP14088