Missouri Model Electronic Data Interchange Trading Partner Agreement

State:
Multi-State
Control #:
US-CP1020-AM
Format:
Word; 
Rich Text
Instant download

Description

This sample form, a detailed Model Electronic Data Interchange Trading Partner Agreement document, is for use in the computer, internet and/or software industries. Adapt to fit your circumstances. Available in Word format.
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  • Preview Model Electronic Data Interchange Trading Partner Agreement
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  • Preview Model Electronic Data Interchange Trading Partner Agreement
  • Preview Model Electronic Data Interchange Trading Partner Agreement
  • Preview Model Electronic Data Interchange Trading Partner Agreement
  • Preview Model Electronic Data Interchange Trading Partner Agreement
  • Preview Model Electronic Data Interchange Trading Partner Agreement

How to fill out Model Electronic Data Interchange Trading Partner Agreement?

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FAQ

If you need help with changing your health plan, call 1-800-348-6627. If you are in Show Me Healthy Kids, you cannot change your health plan. Translation services are available at no cost if needed. If you are deaf or hearing impaired, call Relay Missouri at 711.

Inquiries about Missouri Medicaid should be directed to the contact center by phone at 800-348-6627. For case- or member-specific inquiries, please use secure messaging or contact us at 800-348-6627.

If you are approved for help, you will have healthcare coverage through Missouri Medicaid (MO HealthNet). This healthcare coverage is different than Medicare and it can help with benefits not normally covered through that program, like nursing home care and personal care services.

833-388-1407 (TTY 711) Monday through Friday, 8 a.m. to 5 p.m. Central time.

State Members Submit online "Cancel coverage" eForm (or a completed Enroll/Change/Cancel Form). Coverage ends on the last day of the month in which the request is received by MCHCP.

Missouri Medicaid (MO HealthNet) Managed Care Health Plans: ... MO HealthNet Case Information: 800-392-1261. MO HealthNet Constituent Services: 800-392-2161. MO HealthNet Service Center: call the Family Support Division Information Center and follow the prompts: 855-373-4636. Managed Care Enrollment Helpline: 800-348-6627.

To find out if your coverage is active you can contact your local Family Support Division or call the MO HealthNet Participant Services Unit at 1-800-392-2161 or 573/751-6527.

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Missouri Model Electronic Data Interchange Trading Partner Agreement