Chapter 3 - Conditions of Provider Participation, Reimbursement, and Procedure of General Applicability

  1. § 13 CSR 70-3.020 - Title XIX Provider Enrollment (Rescinded)
  2. § 13 CSR 70-3.030 - Administrative Actions for Improperly Paid, False, or Fraudulent Claims for MO HealthNet Services
  3. § 13 CSR 70-3.035 - Violations Attested to by the Department of Health and Senior Services
  4. § 13 CSR 70-3.040 - Duty of Medicaid Participating Hospitals and Other Vendors to Assist in Recovering Third-Party Payments (Rescinded)
  5. § 13 CSR 70-3.050 - Obtaining Information From Providers of Medical Services (Rescinded)
  6. § 13 CSR 70-3.060 - Medicaid Program Payment of Claims for Medicare Part B Services (Rescinded)
  7. § 13 CSR 70-3.100 - Filing of Claims, MO HealthNet Program
  8. § 13 CSR 70-3.105 - Timely Payment of MO HealthNet Claims
  9. § 13 CSR 70-3.110 - Second Opinion Requirement Before Nonemergency Elective Surgical Operations (Rescinded)
  10. § 13 CSR 70-3.120 - Limitations on Payment of Out-of-State Nonemergency Medical Services
  11. § 13 CSR 70-3.130 - Computation of Provider Overpayment by Statistical Sampling (Rescinded)
  12. § 13 CSR 70-3.140 - Direct Deposit of Provider Reimbursement
  13. § 13 CSR 70-3.150 - Authorization To Receive Payment for Medicaid Services
  14. § 13 CSR 70-3.160 - Electronic Submission of MO HealthNet Claims and Electronic Remittance Advices
  15. § 13 CSR 70-3.170 - Medicaid Managed Care Organization Reimbursement Allowance (Rescinded)
  16. § 13 CSR 70-3.180 - Medical Pre-Certification Process
  17. § 13 CSR 70-3.190 - Telehealth Services (Rescinded)
  18. § 13 CSR 70-3.200 - Ambulance Service Reimbursement Allowance
  19. § 13 CSR 70-3.210 - Electronic Retention of Records
  20. § 13 CSR 70-3.220 - Electronic Health Record Incentive Program
  21. § 13 CSR 70-3.230 - Payment Policy for Provider Preventable Conditions
  22. § 13 CSR 70-3.240 - MO HealthNet Primary Care Health Homes
  23. § 13 CSR 70-3.250 - Payment Policy for Early Elective Delivery
  24. § 13 CSR 70-3.260 - Payment Policy for Asthma Education and In-Home Environmental Assessments
  25. § 13 CSR 70-3.280 - Home and Community-Based Services Waiver Definitions
  26. § 13 CSR 70-3.290 - Home and Community-Based Services Waiver Setting Requirements
  27. § 13 CSR 70-3.300 - Complementary Health and Alternative Therapies for Chronic Pain Management
  28. § 13 CSR 70-3.310 - Chiropractic Services
  29. § 13 CSR 70-3.320 - Electronic Visit Verification (EVV)
  30. § 13 CSR 70-3.330 - Telemedicine Services

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