MedicaidCoverageMedium impact
Women's Health Services
Missouri Medicaid (MO HealthNet)·MO · OB-GYN, Family Medicine·Provider Notice
Effective date
Sep 8, 2014
We identified it
Jun 20, 2026
Summary
Women's Health Services under Medicaid (codes 80 and 89) is a limited benefit program covering only family planning services and related problems. All services must be billed with primary diagnosis codes V25-V25.9 and are restricted to the covered services list in the Provider Bulletin.
Action Required
Immediately: Billing team must verify all Women's Health Services claims for Medicaid codes 80 and 89 use primary diagnosis codes V25 through V25.9 only. Review Provider Bulletin for complete covered services list. Ensure services are billed only for family planning purposes or family-related problems identified during routine family planning visits. Claims with incorrect diagnosis codes or non-covered services will be denied.