Can I use my MO HealthNet if I travel out of state?

Services outside the United States, District of Columbia, and the following territories are not covered:

  •  Northern Mariana Islands
  • American Samoa
  •  Guam
  •  Puerto Rico
  • The Virgin Islands.

Emergency: Emergency services are covered as long as the health care provider treating you out of state agrees to enroll with MO HealthNet and accept the amount. Emergency services are services required when there is a sudden or unforeseen situation or occurrence or a sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) that the absence of immediate medical attention could reasonably be expected to result in any of the following:

  • Placing the patient’s health in serious jeopardy 
  • Serious impairment to bodily functions 
  • Serious dysfunction of any bodily organ or part
Non-Emergency: Non-Emergency out of state is defined as “not within the physical boundaries of Missouri or any of the states that border Missouri.” If you would like to see and out-of-state health care provider for non-emergency MO HealthNet covered services, it must be approved before you receive the services.  To get approval for out of state services, your health care provider must fax a written request to 573-526-2471 or submit a request by mail to:

MO HealthNet Division
Participant Services Unit
Attn: Supervisor
PO Box 6500
Jefferson City, MO 65102

The written request must include a brief past medical history, services attempted in Missouri, where the services are being requested, who will provide them, and why the service cannot be done in Missouri. The out of state provider must also agree to enroll with MO HealthNet and accept the MO HealthNet amount.

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