Missouri Medicaid Audit & Compliance
From the Director: Provider Information and Tips
PRESCRIBING PROVIDER NPI REQUIREMENT
September 20th, 2018
Current state and federal regulations (13 CSR 65-2 and 42 CFR § 455.410) require Ordering, Prescribing, or Referring (OPR) physicians or other professionals providing services under the state plan or under a waiver of the plan to be enrolled as … Continued
DEADLINE FOR ENROLLMENT OF MANAGED CARE ORGANIZATION NETWORK PROVIDERS
September 13th, 2018
The “Medicaid and CHIP Managed Care Final Rule” and 42 CFR 438.602(b)(1), require states to screen and enroll, and periodically revalidate, all network providers of Managed Care Organizations (MCOs); including Ordering, Prescribing, and Referring (OPR) providers. This requirement was effective … Continued
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