Effective August 1, 2026, the Missouri Department of Social Services (DSS), through the MO HealthNet Division (MHD) and the Missouri Medicaid Audit & Compliance Unit (MMAC), in consultation with the Centers for Medicare & Medicaid Services (CMS), is implementing a six-month temporary moratorium on new provider enrollments for the following provider types identified by CMS as posing an increased risk for fraud, waste, and abuse of the MO HealthNet Program:
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS / DME) Consumer Directed Services (CDS) / Personal CareThis temporary pause on new enrollments applies across the entire state of Missouri. It is designed to strengthen program oversight, reduce opportunities for bad actors to commit fraud, waste, and abuse, and allow MMAC to stabilize and modernize its provider monitoring systems without creating barriers to care for MO HealthNet participants.
Actively enrolled DME and CDS providers are not affected by this temporary moratorium and may continue servicing Medicaid participants. Providers whose enrollment application was received by MMAC prior to the implementation date will also not be affected. The temporary moratoria also do not apply to providers who are revalidating their active enrollment.
Scope and Policy Details
DetailDME Provider MoratoriumCDS Provider MoratoriumEffective DateAugust 1, 2026August 1, 2026Initial Duration6 months (with option to extend in 6-month increments up to 1 year)6 months (with option to extend in 6-month increments up to 1 year)Geographic ScopeStatewide (All Missouri Counties)Statewide (All Missouri Counties)Impacted EntitiesInitial enrollment applications received on/after August 1, 2026.Initial enrollment applications received on/after August 1, 2026.Exemptions / Existing EnrolleesCurrently enrolled providers are unaffected and may continue servicing participants.Providers whose enrollment application was received by MMAC prior to the implementation date will also not be affected.Currently enrolled providers are unaffected and may continue servicing participants.
Providers whose enrollment application was received by MMAC prior to the implementation date will also not be affected.
If you have questions regarding this notice or for information on enrollment policies, please contact the Missouri Medicaid Audit & Compliance (MMAC) Provider Enrollment Unit by email: MMAC.ProviderEnrollment@dss.mo.gov.
All media inquiries should be directed to Baylee.Watts@dss.mo.gov.
This notice serves as a reminder and education to all HCBS Consumer Directed Services (CDS) vendors regarding requirements for maintaining accurate tax identification information records in Fusion.
Per HCBS Policy 3.25 Appendix 1 and 19 CSR 15-8.400, CDS vendors are required to complete the following for all CDS consumers:
Enter both the Federal Employer Identification Number (EIN) and the Missouri Tax ID directly into the consumer’s record under the “HCBS Eligibility” section in Fusion. Upload proof of EIN to the “Documents” tab under the “EIN Tax Documents” subtype.An audit conducted on June 22, 2026, by the Division of Senior and Disability Services (DSDS) identified significant compliance gaps regarding missing or incomplete EIN and Missouri Tax ID entries in provider records. Missing entries can delay the processing of required information and may interfere with timely service delivery to consumers.
On July 10, 2026, DSDS will be contacting individual CDS vendors with detailed findings from your agency and the required remediation actions. The email will be sent to the business email address listed with MMAC. Vendors must review the consumer records and complete all required corrections no later than August 31, 2026.
Please note that any consumer records not brought into compliance by the deadline will be referred to Missouri Medicaid Audit and Compliance (MMAC) for further administrative action.
