PROVIDER ENROLLMENT

March 17th, 2015

The Provider Enrollment Unit is responsible for enrolling new providers in accordance with 13 CSR 70-3, maintaining provider records, and answering provider inquiries related to enrollment for all MO HealthNet provider types. The Provider Enrollment staff is authorized and required … Continued


2015 UPDATE ON RECOVERY AUDIT CONTRACTOR (RAC) ACTIVITIES

March 3rd, 2015

In March, 2014, MMAC posted an update to the RAC (Recovery Audit Contractor) and MIC (Medicaid Integrity Contractor) activities on its website.  See the archived post here March 2014 RAC and MIC update.  Cognosante, LLC is the RAC for Missouri.  Section 6411 … Continued


NON-EMERGENCY MEDICAL TRANSPORTATION SERVICES: REMINDERS

March 3rd, 2015

MO HealthNet reimburses eligible participants or nonemergency medical transportation (NEMT) providers for medically necessary transportation only if a participant does not have access to transportation services that are available free of charge.  For more guidance on the NEMT program and … Continued