To view certain documents you may need to download Adobe Acrobat Reader (which is free)
Click here to download

  1. How do I contact the Missouri Care Member Services Department? What other important phone numbers might I need?
  2. What is a Primary Care Provider (PCP)?
  3. What if a specialist is needed?
  4. What if Missouri Care members don’t have transportation to their medical appointments?
  5. What if a Missouri Care Health Plan member needs medical advice in the middle of the night or while out of town?
  6. Should Missouri Care members go to the Emergency Room when their PCP isn’t available?
  7. Do Missouri Care members have to pay for prescriptions?
  8. Do Missouri Care members get an identification card?
  9. What if Missouri Care members lose their card?
  10. Can Missouri Care members use University Hospital for health care?
  11. Is Children’s Hospital also part of University Hospital?
  12. How do providers and mental health providers become part of the Missouri Care Health Plan provider network?
  13. I want to keep seeing my mental health provider; what do I need to do?
1. How do I contact the Missouri Care Member Services Department? What other important phone numbers might I need?

 

To contact the Member Services Department call (800) 322-6027. Other important phone numbers can be found at the contact us page on this Web site.


 

2. What is a Primary Care Provider (PCP)?

 

At Missouri Care Health Plan, a Primary Care Provider (PCP) is the doctor, nurse or clinic in our network who will be the member’s main health care provider.

 

3. What if a specialist is needed?

 

A PCP will make a referral to a specialist in our network.


4. What if Missouri Care Health Plan members don’t have transportation to their medical appointments?

 

Members can use the contact us page found on our home page, or they can call the Missouri Care Member Services Department for information on transportation to and from their medical appointments.

 

 

5. What if a Missouri Care Health Plan member needs medical advice in the middle of the night or while out of town?

 

Members should always call their PCPs first. The PCP will advise members on what to do. Members can also call Informed Health Line, our 24-hour health advice line. Medical personnel are always available to answer health questions or to help with health problems. Their number is 1-800-556-1555.


 

6. Should Missouri Care Health Plan members go to the Emergency Room when their PCP isn’t available?

 

In a true emergency, call 911 or go to the nearest emergency room. Emergency care is given for a medical emergency when a member believes his/her health is in serious danger – when every second counts. Examples of emergency situations include:
• Severe pain
• Serious injury
• Sudden illness
• Illness that is quickly getting much worse

 

 

7. Do Missouri Care Health Plan members have to pay for prescriptions?

 

Missouri Care Health Plan covers prescriptions. We also pay for over-the-counter medicine like cough medicine when ordered by a member’s PCP. Members may have to pay a small amount ranging from 50 cents to $2 for each prescription. Some members may have to pay more.


 

8. Do Missouri Care Health Plan members get an identification card?

 

Yes. Members will receive a Missouri Care Health Plan card in the mail. It will be printed with the member’s name, ID number and PCP’s name.


 

9. What if Missouri Care Health Plan members lose their card?

 

Missouri Care Health Plan members can use the contact us page on our home page, or they can call our Member Services Department. A new card will be sent out right away. If members lose their MO Healthnet card, they should contact their local Family Support Division (FSD) eligibility specialist.



10. Can Missouri Care Health Plan members use University Hospital for health care?

 

Absolutely! The University of Missouri is committed to providing good medical care to the entire community. That’s why University Hospital and Clinics is included in our network. It is one of Missouri Care's premier contracted hospitals.

 

University Hospital also offers mid-Missouri’s only:

  • Level I Trauma Center
  • Burn Intensive Care Unit
  • Air ambulance with the Staff for Life helicopters if air transport is needed

 

11. Is Children’s Hospital also part of University Hospital?

 

Yes. Children’s Hospital is mid-Missouri’s only hospital exclusively for children. It has the most experienced newborn and pediatric intensive care programs in central Missouri. Child health specialists at Children’s Hospital will make sure your little ones are well cared for.

 

 

12. How do providers and mental health providers become part of the Missouri Care Health Plan provider network?

 

Please contact our Provider Relations Department for an application.

Missouri Care Health Plan
2404 Forum Blvd.
Columbia, MO 65203
(800) 322-6027

 

13. I want to keep seeing my mental health provider; what do I need to do?

 

If your provider is contracted, or is in the process of contracting with us, you will be able to continue seeing your provider with no interruption in treatment. Your provider will need to contact us after they have seen you for 4 sessions for continued authorization.

If your provider is not contracted with us, you will be able to continue seeing your provider until you are able to transition to a contracted provider.