MO · guidance
MO HealthNet Hospice Provider Manual § 2.1
Provider Participation Requirements
To participate in the MO HealthNet Hospice Program, the hospice agency must have Medicare and DHSS Hospice Certification.
In addition to the general requirements of provider participation, the following must be submitted to the MO HealthNet Division (MHD):
Medicare Hospice Certification which includes the Medicare number
Missouri DHSS Hospice Certification/License
Hospice-Nursing Facility (NF) Contract Update form; this is a comprehensive list of nursing facilities with whom the hospice has a contract/agreement. This form is required for the automated claims processing of nursing home room and board claims. The contracts must be part of the hospice’s permanent file and must be produced upon request. Refer to Section 3.1 in this manual for more information.
Refer to the General Sections Manual for more information on provider participation.
Provenance
- Source
- dss.mo.gov
- Retrieved
- 2026-10-01
- Edition
- mhd-hospice-2026-04-13
- Content hash
1a07eb8317473a5f390952225a51170b7413d82d878e0582d1d9e9e95746962f
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