Appeals Process - Missouri Care |
To file an appeal:
Call Missouri Care at 1-800-322-6027 and tell them you want to file an appeal. TDD users, call 1 800 735 2966. If you speak another language you can ask for an interpreter at no cost to you. Or you can write: Grievance and Appeals Coordinator Missouri Care 2404 Forum Blvd Columbia, MO 65203 Missouri Care must make a decision on your appeal within 45 days of receiving it. If you have any additional information you wish to provide that was not included in your original request for an appeal, you may forward it to: Missouri Care. MO HealthNet Managed Care allows 45 days for Missouri Care to make an appeal decision. Missouri Care will make the decision within 30 days of receipt of the request. Could your health suffer if you wait for our decision? If so, ask for an expedited review. Call the Grievance and Appeals Coordinator at Missouri Care at and tell what might happen if you don't get a quick decision. The expedited review must be completed within 3 working days. Missouri Care will complete expedited reviews within 72 hours of receipt of the request. External Review: Missouri Care may ask a specialist to review your request for urgent care or ongoing treatment. This could happen at the same time as the internal appeals process. For more information, visit Missouri Care. |