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Provider Resources

Get the tools you need to easily manage your administrative needs, and your keep your focus on the health of your patients. Use the tools and resources below to find the information you need, check member eligibility, submit claims through our secure provider portal, check if pre-authorization is necessary, see the status of a claim and more

The Home State Health Equity Toolkit (PDF) is designed to help providers with their diverse members, backgrounds, and cultures which can impact their health. It includes resources to understand and navigate language and cultural differences among Missouri residents, fostering a more inclusive and effective healthcare environment for everyone.

  • Missouri Tobacco Quitline for Patients with a Behavioral Health Condition or Substance Use Disorder who also use tobacco
  • Show-Me ECHO: Extending Specialty Care into Primary Care - (Extension for Community Healthcare Outcomes) uses videoconferencing technology to connect a team of interdisciplinary experts with primary care providers. The discussions with, and mentoring from, specialists help equip primary care providers to give their patients the right care, in the right place, at the right time.

Language, Interpretation, & Translation Services

Home State Health provides language assistance and interpreter resources in all threshold languages including American Sign Language at no cost to members. We provide support services for hearing impaired members through Telecommunications Device for the Deaf (TDD).

The initial message on our Member Services Call Center is recorded in English and Spanish, and callers can choose a separate line to hear the full recording in their preferred language. Our 24-hour Nurse Advice line provides Spanish-speaking interpreters and has access to interpretation services for additional languages.

Home State Health responds to requests for telephonic interpreters immediately, and within 2-3 business days for requests at provider offices. For in-person interpreter services please complete the Interpreter Services Request and fax it to 1-866-390-4429.

 

Contact Us

If you have questions or need these services please call:

Home State Health: 1-855-694-HOME (4663) (TTY: 711)

Show Me Healthy Kids: 1-877-236-1020 (TTY: 711)

Home State providers must keep accurate and complete medical records. Such records will enable providers to render the highest quality healthcare service to members. They will also enable Home State to review the quality and appropriateness of the services rendered. Home State will conduct random medical record audits as part of its QI program to monitor compliance with the medical record documentation standards linked below.

The coordination of care and services provided to members, including over/under utilization of specialists, as well as the outcome of such services also may be assessed during a medical record audit. Home State will provide written notice prior to conducting a medical record review.

Additional Resources