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MO HealthNet Spenddown Provider Form

Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

MO HealthNet has updated their spenddown provider form submission process. Providers can now submit medical expenses on behalf of participants to help them meet their spenddown requirements (similar to a deductible) by using a specific form and submitting it via email or fax.

Action Required

Action needed
For Missouri Medicaid patients with spenddown requirements: Download the MO HealthNet Spenddown Provider form from the MO HealthNet website. Submit completed forms with receipts and bills to sesd@ip.sp.mo.gov or fax to 417-967-1043. Contact SpendDown.Unit@dss.mo.gov with questions. Avoid submitting duplicate forms.