Missouri Medicaid Audit & Compliance
From the Director: Provider Information and Tips
PROPER BILLING FOR DRUGS BILLED TO MO HEALTHNET
July 11th, 2022
MO HealthNet Division (MHD) will begin desk audits of providers to ensure proper billing units are used for drugs billed to MO HealthNet. Providers are responsible for proper billing of claims as outlined in Section 15 of the Pharmacy Provider … Continued
ENROLLMENT OF PACE PROVIDERS
March 30th, 2022
According to state regulation 13 CSR 65-2.020(1)(A), all persons are required to enroll with the Missouri Medicaid Audit and Compliance unit (MMAC) as a billing or performing provider in the MO HealthNet Program if the services or items they provide … Continued
References to the Department of Social Services, Missouri Medicaid Audit and Compliance Unit (MMAC) by specific commercial products or services do not constitute or imply an endorsement or recommendation on behalf of MMAC for the products or services they offer.