Based on the actions of the Centers for Medicare and Medicaid Services, notice is hereby given that the agreement between the Missouri Department of Social Services and Festus Manor as a provider of services in the MO HealthNet (Medicaid) program, will be terminated at the close of business November 23, 2024.
To facilitate the orderly relocation of MO HealthNet beneficiaries, for residents admitted August 6, 2024, or earlier, payment may continue for up to 30 days for services furnished after November 23, 2024.
Todd Richardson, Director
MO HealthNet Division
Department of Social Services
Tracy Niekamp, Administrator
Section for Long-Term Care Regulation
Department of Health and Senior Services
All forms submitted to MMAC must have an original handwritten signature or a verifiable electronic signature using an electronic signature software such as; DocuSign,Adobe Sign, DropBox Sign.Some of these software offer free limited accounts.
If in the course of reviewing your documents an unverifiable or altered form utilizing electronic signature is found or suspected, providers will be required to either submit the original documents showing the authentication trail meeting the requirements below or produce new forms with valid handwritten signatures.
All Medicaid providers using electronic signatures must meet the following requirements:
• Implement a reliable method of verifying the identity of the signing party. To ensure the validity of the electronic signature, the provider must produce the digital certificate or any other tracking trail document showing the authenticity of the signature. The certificate should include but not limited to: Signing E-mail address, time stamp, IP addresses.
• Retain the certified and unaltered original documents and the Certificate of Completion for a minimum of five (5) years. The electronic document and signature should be kept secure to preserve its integrity by preventing unauthorized changes and maintaining the completeness of the agreement. DocuSign, Adobe Sign, and Dropbox Sign files are subject to the document retention requirements outlined in the provider’s Title XIX Participation Agreement, 13 CSR 70-3.030(3)(A)(4), and the appropriate MO HealthNet Provider Manual.
For questions, contact MMAC.
The Mo HealthNet Provider Communications Unit assists providers with eligibility and coverage verification, enrollment status, annual review dates, questions regarding proper claim filing, claims resolution and disposition, billing errors, verifying check amounts, and more.
Providers are encouraged to communicate with Provider Communications using the Provider Communications Management tool in eMOMED. Providers may also call the Interactive Voice Response (IVR) system at (573) 751-2896.
Beginning today, providers can also call Provider Communications TOLL FREE at (833) 222-7916. The caller must have the provider’s National Provider Identifier (NPI). The IVR system allows a MO HealthNet provider six options:
For more information on the IVR system, review Section 3.3 of the General Sections Manual. For questions, contact MHD.Education@dss.mo.gov.
Based on the actions of the Centers for Medicare and Medicaid Services, notice is hereby given that the agreement between the Missouri Department of Social Services and Senath South Health Care Center as a provider of services in the MO HealthNet (Medicaid) program, will be terminated at the close of business July 25, 2024.
To facilitate the orderly relocation of MO HealthNet beneficiaries, for residents admitted April 24, 2024, or earlier, payment may continue for up to 30 days for services furnished after July 25, 2024.
Todd Richardson, Director
MO HealthNet Division
Department of Social Services
Tracy Niekamp, Administrator
Section for Long-Term Care Regulation
Department of Health and Senior Services
The Centers for Medicare & Medicaid Services (CMS), in partnership with the States, is measuring improper payments in the Medicaid and Children’s Health Insurance Program (CHIP) programs under their Payment Error Rate Measurement (PERM) process.
CMS and its PERM contractor, Empower AI, have begun sending medical records requests effective June 6, 2024. These requests will be sent directly to Missouri Medicaid/CHIP providers for claims billed during state fiscal year 2024. Empower AI will also be contacting providers directly to obtain contact information to ensure that the medical records request is sent to the correct contact/location. Please be sure to comply with any contact information requests and medical record requests. Additional information about the PERM program is addressed on the CMS PERM website (https://www.cms.gov/PERM). Refer to the “Providers” link on the website.
Federal regulations require that Medicaid/CHIP providers submit the medical record documentation to support claims for Medicaid/CHIP services to CMS upon request. Providing medical records for Medicaid/CHIP patients does not violate the Health Insurance Portability and Accountability Act (HIPAA). Patient authorization is not required to respond to this request. CMS and its contractors will comply with the Privacy Act federal regulations governing the sharing and transmission of Protected Health Information (PHI).
Questions regarding the PERM audit may also be directed to the State PERM representative Joyce Chandler at 573-751-7993 or please email MMAC.PERMAUDITS@DSS.MO.GOV.
Based on the actions of the Centers for Medicare and Medicaid Services, notice is hereby given that the agreement between the Missouri Department of Social Services and Levering Regional Health Care Center as a provider of services in the MO HealthNet (Medicaid) program, will be terminated at the close of business May 28, 2024.
To facilitate the orderly relocation of MO HealthNet beneficiaries, for residents admitted April 5, 2024, or earlier, payment may continue for up to 30 days for services furnished after May 28, 2024.
Todd Richardson, Director
MO HealthNet Division
Department of Social Services
Tracy Niekamp, Administrator
Section for Long-Term Care Regulation
Department of Health and Senior Services
