Applications and Forms
Money Follows the Person
Clinical Nurse Assessment Forms
Provider Billing Forms
Direct Deposit Information
Vendor ACH/EFT Application - (This form is for SSBG/GR payments only)
The Application for Provider Direct Deposit form must be used for MO HealthNet payments. The form is available at the MO HealthNet Division’s web site. A form must be submitted for each MO HealthNet provider number.