Electronic Visit Verification (EVV) - Soft Launch of Claims Validation
On January 7, 2026, MO HealthNet (MHD) will activate the soft launch of claims validation for services requiring EVV. MHD claims for these services will be compared to visit data in the EVV Aggregator Solution (EAS).
As of January 7, 2026, claims submitted to MHD must match the following verified visit data elements in EAS:
• Department Client Number (DCN)
• Date(s) of Service
• Provider Medicaid ID
• Procedure Code/Modifier(s)
• Number of Units
During the soft launch period, MHD claims that not matching visits in EAS will not be denied; however, providers will be notified on their Remittance Advice (RA) via a Remittance Advice Remark Code. This will allow providers an opportunity to become familiar with the claims validation process to prepare for the application of hard edits, which will deny payment of the claims if there is no match in EAS.
For additional information, review the HCBS Provider Town Hall on Claims Validation from November 13, 2025:
For questions, contact Ask.EVV@dss.mo.gov. For additional resources, refer to the Education and Training Resources page and/or sign up for a live webinar by accessing our Provider Training Calendar. Email MHD.Education@dss.mo.gov for more information.