Requirements of Mo HealthNet Plans - Mo. Rev. Stat. § 208.950

All Mo Healthnet plans (the state’s Medicaid program) are required to be enrolled in health improvement plans, including risk bearing coordinate care plans, administrative services organizations, and coordinated fee for service plans.  Each Mo Healthnet patient must also be provided a health care home.  Health improvement plans must use evidence based guidelines. 

The department of social services must evaluate the health improvement plans based on cost, quality, health improvement, outcomes, health status, patient satisfaction, use of evidence based medicine, and use of best practices.  The department of social services must also assess the health and wellness of Mo Healthnet patients by looking at key health system delivery indicators, such as disease specific outcomes, provider demographic information, and participant and provider satisfaction surveys.