800-392-8030: MO HealthNet Pharmacy, Pre-certification and Exceptions Help Desk
Quick answer
(800) 392-8030 reaches Medicaid Missouri (pharmacy, medical pre-certification and exceptions help desk). It is answered by automated phone menu. From the greeting, press 1 for hours of operation and fax numbers; press 2 for Medical pre-certification: durable medical equipment or optical; press 3 for drug edit override authorization; press 4 for exception process for non-covered services or items.
Line at a glance
| Health plan | Medicaid Missouri |
|---|---|
| Department | Pharmacy, Medical Pre-certification and Exceptions Help Desk |
| Purpose | MO HealthNet help desk for pharmacy providers, medical pre-certification of DME, optical and imaging services, drug edit overrides and exception requests. |
| Answered by | Automated phone menu |
| How to respond | Keypad |
| Supported languages | English |
| Hours | Pharmacy help desk: 8 AM to 7 PM Monday to Friday, 8 AM to 6 PM Saturday and Sunday. Medical pre-certification and exceptions help desks: 8 AM to 5 PM Monday to Friday. Hours may differ on holidays. |
| Have ready | MO HealthNet participant ID, NPI |
How to reach each option
| To reach | Do this | What happens |
|---|---|---|
| Hours of operation and fax numbers | 1 | Recorded messagePlays hours and fax numbers for the pharmacy, pre-certification and exceptions help desks. |
| Medical pre-certification: durable medical equipment or optical | 2 | Recorded messageReaches the medical pre-certification hotline; outside 8 AM to 5 PM weekdays it plays a closed message. |
| Drug edit override authorization | 3 | Recorded messageReaches the pharmacy help desk; outside its hours it plays a closed message. |
| Exception process for non-covered services or items | 4 | Recorded messageReaches the exceptions help desk; outside 8 AM to 5 PM weekdays it plays a closed message. |
| Medical pre-certification: outpatient MRI, MRA, CT, CTA, PET or cardiac imaging | 5 |
Questions about (800) 392-8030
What are the MO HealthNet pharmacy help desk hours?
8 AM to 7 PM Monday through Friday and 8 AM to 6 PM Saturday and Sunday. Hours may differ on holidays.
What are the fax numbers?
The pharmacy help desk fax is 573-636-6470 and the exceptions help desk fax is 573-522-3061.
Can providers get pre-certification online?
Yes. The line says providers may obtain pre-certification through CyberAccess, and new users can contact the Conduent help desk at 888-581-9797.
What should pharmacy providers do before calling?
Make sure the claim has been submitted and rejected, and have the participant's MO HealthNet ID and the provider NPI ready.