Missouri state regulation defines “adequate documentation” as documentation from which services rendered and the amount of reimbursement received by a provider can be readily discerned and verified with reasonable certainty. It is a program violation to fail to make available and disclose all records relating to services provided to MO HealthNet participants or records relating to MO HealthNet participants.
Documentation requirements for the MO HealthNet Behavioral Health Services program can be found here.
In addition, program requirements are detailed in the MO HealthNet provider manuals, found here.
The Missouri Medicaid Audit and Compliance Unit (MMAC) encourages all MO HealthNet Behavioral Health providers to review and be familiar with these program requirements, and to contact us at MMAC.ProviderReview@dss.mo.gov with any questions.