Missouri Medicaid: What you need to know about appointment availability standards

If you’re in network for UnitedHealthcare Community Plan of Missouri, you’re required to meet the state’s appointment availability standards. These standards, set by the Missouri Department of Social Services, apply to primary care providers (PCPs) and specialists.

Please make sure your scheduling and front office staff are aware of and follow the MO HealthNet appointment availability standards.

What this means for you

• Schedule appointments within required time frames
• Ensure staff understand and follow state access standards
• Keep standards available for reference to support compliance

Where to find the standards

Appointment availability requirements are available in the:

• MO HealthNet appointment availability standards
• Community Plan of Missouri Care Provider Manual