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Missouri Medicaid Prior (Rx) Authorization Form

Missouri Medicaid Prior (Rx) Authorization Form

Updated July 27, 2023

Missouri Medicaid prior authorization form is used by a prescribing medical provider to request treatment that is not covered by their patient’s state health care plan. Missouri’s Medicaid program is managed by MO HealthNet and it offers 3 plans for members to choose from: Home State Health, MissouriCare, or UnitedHealthCare. Most services, including prescription drugs, are covered by all three services, but not all medications are covered. A committee will then decide whether or not this medication is the most viable and cost-effective option for the patient.

  • Department of Social Services (DSS) MO HealthNet Division phone number: 1 (800) 392-8030
  • Form can be faxed to: 1 (573)636-6470
  • Form can be mailed to:
    ATTN: Drug Prior Authorization
    MO HealthNet Division
    P.O. Box 4900
    Jefferson City, MO
    65102-4900