All Consumer Directed Service (CDS) providers are required to submit the following reports to MMAC:
CDS Quarterly Financial & Service Report CDS Annual Service Report CDS Annual AuditFor your convenience, these reports may now be submitted to the following email address or fax at:
Email: MMAC.CDS@DSS.MO.GOV
Fax: 573-526-4375
Mailing address: PO Box 6500, Jefferson City, MO 65102-6500
The CDS Quarterly Financial & Service Report and CDS Annual Service Report have been updated and are posted on MMAC’s website. Click here to access fillable copies of these reports.
CDS Quarterly Financial and Service Report
The CDS Quarterly Financial & Service Report must be submitted to MMAC by the “Report Due Date,” as follows:
Calendar QuarterCovered DatesReport Due DateFirst QuarterJanuary 1 through March 31, 2027April 30, 2027Second QuarterApril 1 through June 30, 2027July 31, 2027Third QuarterJuly 1 through September 30, 2027October 31, 2027Fourth QuarterOctober 1 through December 31, 2027January 31, 2028For example, the CDS Quarterly Financial & Service Report for the First Quarter (which starts on January 1 and ends on March 31, 2027) must be submitted to MMAC by April 30, 2027.
CDS Annual Service Report
The CDS Annual Service Report for January 1 through December 31 is due by January 31, 2028.
Before submitting reports, please review for completeness and that the form has been signed (print the name and title of the person signing under the signature).
CDS Annual Audit
Missouri statute and regulation require CDS providers to submit an annual audit.19 CSR 15-8.400(8) states vendors shall submit the annual audit, done by a properly licensed independent practitioner (certified public accountant licensed in the state of Missouri) pursuant to applicable federal and state laws and regulations, within one hundred fifty (150) days after the end of the vendor’s fiscal year.
Missouri Medicaid Audit and Compliance (MMAC) has posted guidance on its website to assist CDS vendors with the financial audit process. Click here to view the guidance.
Before submitting reports, please review for completeness and that the form has been signed (print the name and title of the person signing under the signature).
If you have any questions about your CDS Annual Audit, please contact MMAC at MMAC.CDS@dss.mo.gov with any questions.
Notice for Noncompliant CDS Vendors
If you are unable to submit any of the required reports by the due date, for any reason, you must inform MMAC immediately, with an explanation for why you cannot submit the report by the due date, when you will provide the overdue report, and a detailed corrective action plan addressing how you will comply with the CDS vendor reporting requirements.
It is important that you do not forget to submit your CDS reports and annual audit by the due dates in this bulletin. 19 CSR 15-8.400(9) authorizes MMAC to withhold funding if the vendor does not submit required documentation. MMAC reserves the right to impose administrative actions on CDS vendors who fail to submit any required reports to MMAC under 13 CSR 70-3.030.
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.
