MO HealthNet, DSS Updates T
here have been many recent updates from MO HealthNet and DSS. You can access all available provider bul-
letins at
dss.mo.gov/mhd/providers/pages/ bulletins.htm.
TELEHEALTH PROVIDER BULLETIN
There is a new Telehealth Provider Bulletin available at
dss.mo.gov/mhd/providers/pdf/ bulletin40-47_2018feb2.pdf.
MO HEALTHNET DENTAL TRAINING
The MO HealthNet Dental Workshop is July 19 from 9am-4pm in the Howerton Building, Jefferson City. Registration instructions and the workshop schedule are outlined at dss.
mo.gov/mhd/providers/education/files/2018- training-workshops.pdf.
ADDRESS CHANGE FOR DENTAL CLAIMS
Now in effect, providers must mail all Dental paper claims to: Wipro Infocrossing, PO Box 5600, Jefferson City MO 65102.
WHAT ARE YOUR PAIN POINTS?
The Missouri Department of Social Services (DSS) is developing and prioritizing many new initiatives to increase the efficiency of its programs and move resources to areas most needed. To that end, DSS would like to know what causes you frustration when dealing with any of the divisions within DSS. What are your personal “pain points” that they could address to make your interactions with DSS more efficient and less frustrating? DSS has formed an executive leadership commit- tee to seek out and compile input on those pain points from all its customers, including but not limited to, Medicaid participants, health care providers, social workers, and even representatives of other local, county, state and federal agencies. If you have one or more pain points you would like to share, email your comments to
MMAC.General@
dss.mo.gov.
OPIOID PRESCRIPTION INTERVENTION
In an effort to address Missouri’s emergent opioid crisis, the Departments of Social Ser- vices, Health and Senior Services and Mental Health are expanding upon the Opioid Pre- scription Intervention (OPI) Program. The OPI Program helps ensure MO HealthNet participant safety by enforcing national standards through the use of CDC guidelines for prescribing opioids for chronic pain. For more information about the OPI Program, please reference the MO HealthNet provider OPI webpage at
dss.mo.gov/mhd/providers/ opi-program.htm.
Providers whose prescribing habits recently fell outside the CDC guidelines will receive a letter in the mail regarding the OPI program. If you do not receive a letter, that means you are prescribing within the guidelines. In addition, on March 6, MO HealthNet implemented the following revisions to the short-acting opioid (
dss.mo.gov/mhd/cs/ pharmacy/pdf/Opioids-Short-Acting.pdf) and short-acting combination (
dss.mo.gov/mhd/ cs/pharmacy/pdf/Opioids-Combination- Short-Acting.pdf) opioid clinical edits. The revisions to the edits are listed below:
Initial Rx for Opioid-Naïve participants will be limited to 50 MMEs
Acute opioid therapy will be limited to 60 days AND
Acute opioid therapy is not to exceed 90 MME’s
Opioid therapy > 60 days will be consid- ered Chronic and will require a PA
Chronic Non-Malignant Pain (CNMP) diagnoses have been streamlined AND
PA for CNMP will be limited to ap- proved diagnoses only
DSS and MO HealthNet are committed to providing consultation, training, and as- sistance in an effort to improve a providers’ compliance with CDC opioid prescription guidelines. Email MMAC.OPICompliance@
dss.mo.gov if you have questions. f
For specific MO HealthNet questions, contact Dr. John Dane, Missouri Dental Director, at 573-526-3838 or john.
dane@health.mo.gov.
12 focus | MAR/APR 2018 | ISSUE 2
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