Questions about Becoming a MO HealthNet (Medicaid) Provider?
Questions about Becoming a MO HealthNet (Medicaid) Provider?
Navigating the MO HealthNet (Missouri Medicaid) enrollment process can be complex. To get started, visit the provider enrollment application.
Updated MO HealthNet Provider Training Schedule Now Available
Updated MO HealthNet Provider Training Schedule Now Available
The MO HealthNet Division (MHD) Education and Training team has updated the Provider Training Schedule, accessible through the Education and Training page. These trainings cover navigating provider resources, proper billing methods, procedures for claim filing via eMOMED, and other requested topics.
Mass Adjustment of Claims for Services Requiring Electronic Visit Verification
Mass Adjustment of Claims for Services Requiring Electronic Visit Verification
Due to a temporary system issue, the MO HealthNet Division (MHD) did not apply Electronic Visit Verification (EVV) validation edits to claims received from Personal Care and Home Health Care providers between May 6, 2026, and May 13, 2026. As a result, some claims that should have been denied were accidentally paid, and others missed required informational alerts.
What is Happening Next?
How Providers Can Escalate Unresolved Managed Care Inquiries
How Providers Can Escalate Unresolved Managed Care Inquiries
Have you already contacted a Managed Care (MC) health plan directly, but still need help resolving an issue? The MO HealthNet Division (MHD) is here to assist. If you have already contacted the MC health plan directly regarding an issue and it remains unresolved, please follow the steps below.
New Provider Directory Link
Updated MO HealthNet Provider Directory Now Available
The MO HealthNet Division (MHD) has updated how the provider directory information is organized and accessed. Please use the MO HealthNet Provider Search to access all current provider directory resources.
Key things to know:
Self-Measured Blood Pressure Monitoring Procedure Codes
Self-Measured Blood Pressure Monitoring Procedure Codes
The MO HealthNet Division (MHD) covers Self-Measured Blood Pressure (SMBP) monitoring effective for dates of service on or after February 1, 2025. These services are covered when prescribed by a physician or a health care professional with prescribing authority. Prescriptions for SMBP-validated monitoring devices must be made to participating Durable Medical Equipment (DME) providers and must include a request for an appropriately sized cuff.
Notice of Off-Cycle Revalidation Initiative
Notice of Off-Cycle Revalidation Initiative
The Missouri Medicaid Audit & Compliance (MMAC) Unit is issuing this notice to inform select providers of an upcoming, two-phased off-cycle provider revalidation initiative. This initiative is being undertaken in partnership with the Centers for Medicare & Medicaid Services (CMS) and in consultation with the Office of Governor Mike Kehoe and the MO HealthNet Division (MHD).