Backdating Provider Enrollment Applications

The Missouri Medicaid Audit and Compliance (MMAC) Provider Enrollment Unit (PEU) frequently receives requests to backdate provider enrollment applications. MMAC will not backdate the effective date of a provider’s Missouri Medicaid enrollment prior to the date MMAC received the provider’s application, except in very specific situations, such as out of state emergency services. This is outlined in state regulation.

13 CSR 65-2.020 Provider Enrollment and Application

(1) Enrollment

COVID-19: Co-Payment - Revised

The MO HealthNet Division is responding to an outbreak of respiratory disease caused by a novel (new) coronavirus.  The virus has been named "SARS-CoV-2" and the disease it causes has been named "coronavirus disease 2019" (abbreviated "COVID-19"). 

Effective with dates of service on or after January 1, 2020 and through the end of the public health emergency MO HealthNet is waiving the co-payment for ALL services.  MO HealthNet will process a mass adjustment to remove the co-payment for claims with dates of service on or after January 1, 2020.

COVID-19: Telehealth Services Covered Speech Therapy, Physical Therapy, and Occupational Therapy

The MO HealthNet Division (MHD) is responding to an outbreak of respiratory disease caused by a novel (new) coronavirus.  The virus has been named "SARS-CoV-2" and the disease it causes has been named "coronavirus disease 2019" (abbreviated "COVID-19").

Effective immediately MO HealthNet Division has implemented Telehealth for Speech Therapy, Physical Therapy and Occupational Therapy services.

The CPT codes approved for telehealth services for Speech Therapy are:

COVID-19: Long-Acting Reversible Contraceptive (LARC)

The MO HealthNet Division (MHD) is responding to an outbreak of respiratory disease caused by a novel (new) coronavirus. The virus has been named "SARS-CoV-2" and the disease it causes has been named "coronavirus disease 2019" (abbreviated "COVID-19").

During this event, if participants are unable to get a Long-Acting Reversible Contraceptive (LARC) because their procedure is rescheduled, MO HealthNet will ensure coverage of the procedure at the later date.

This Hot Tip also applies to providers that are contracted with the Managed Care Organizations.

COVID-19: Home Health Program - Revised

The MO HealthNet Division (MHD) is responding to an outbreak of respiratory disease caused by a novel (new) coronavirus. The virus has been named "SARS-CoV-2" and the disease it causes has been named "coronavirus disease 2019" (abbreviated "COVID-19").

Beginning March 13, 2020 and until the end of the public health emergency due to COVID-19, the following changes have been implemented for the Home Health Program:

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