Use this form if you are a MO HealthNet provider who has already contacted a Managed Care health plan (not Fee-For-Service) and the issue remains unresolved. Visit Plans & Providers for health plan contact information. You may upload supporting documentation (i.e., eligibility information, health plan denial documentation), if applicable.
Submitting online is the fastest way to request resolution support. If you cannot use this online form, email the Managed Care Provider Resolution Support and documentation to MHD.MCCommunications@dss.mo.gov.
Member Eligibility Issues:
Before using this form for member eligibility issues, use the health plan’s direct escalation path:
If the plan fails to update eligibility or respond timely, submit this form and include the date you first contacted them.
Non-Managed Care Issues: Contact Provider Communications via eMOMED or call (833) 222-7916.
Provider Appeals: If you have already filed an appeal with the Managed Care health plan and they upheld their decision, you may file a MO HealthNet Managed Care Appeal Request for a denied or reduced claim.
