How Do I Know If I'll Get Paid for Medicaid Care?

If your patient is actively enrolled in MO HealthNet or a Managed Care Plan on the date of service, you'll get paid as long as you are also enrolled with their active Managed Care plan. 

So, here's what you really need to know:

Is My Patient Eligible for Dental Medicaid Services?

Patient eligibility is always found on MO HealthNet's eMOMED portal.

And you must verify eligibility for the date of service.

If Their Coverage is Active:

1. Note their ME Code
2. Match their ME Code to the benefits table
3. Determine their coverage level
4. Find their applicable procedure code
5. Use procedure code to find reimbursements

Use This Guide for Determining Your Reimbursement Rates:
Determining Medicaid Reimbursement Rates will help you determine which Managed Care Plan to bill and how much you'll get paid. 

Need More?
Your Medicaid Mentor – Jessica Emmerich, is here to offer you support. Email, call, or text her at 573-536-2474.