Staff Contact: Brian Kinkade or Sarah Willson
The DSS Children’s Division issued additional guidance to hospitals regarding boarding reimbursement for youth in state custody. If a child who is in legal custody of the state is hospitalized but no longer is in need of medical care at the hospital, and that child is pending a placement, the Children’s Division will reimburse the provider at the same rate the hospital would receive per day for an inpatient admission.
When this occurs, providers should send the following information to CD.AskRehab@dss.mo.gov.
- an invoice (not a CMS-1500) for the nonmedically necessary/noncovered days that clearly itemizes the daily room and board rate
- denial from Show Me Healthy Kids/Home State Health, MHD or MHD’s vendor Conduent, or similar documentation, with a clear indication of when the MO HealthNet coverage ended
For additional information, contact CD.AskRehab@dss.mo.gov.