Recently, Missouri Medicaid Audit and Compliance (MMAC) learned that not all providers are aware that the Missouri Medicaid Audit & Compliance Title XIX Participation Agreement was updated effective March 15, 2025. Section six (6) of the agreement was updated to reflect providers are required to maintain records for six (6) years, as required by regulations, instead of five (5) years documented in the previous agreement.
All updated documents and requirements for each specific provider type can be found at the following link: https://mmac.mo.gov/revalidation-requirements/.
MMAC recommends providers use the revalidation requirements link https://mmac.mo.gov/revalidation-requirements/, when completing a new enrollment or revalidation. Using the link will ensure all correct forms are being used instead of relying on older, outdated forms that may have been saved to a local computer. Using the link and correct forms will prevent rejections of enrollments/revalidations due to old documents being used, which will lead to a more timely and efficient approval process.
Any questions can be sent to mmac.revalidation@dss.mo.gov or by calling (573) 751-5238.
MMAC appreciates your collaboration and partnership. We thank you for the critical services you provide to our Medicaid community.
Sincerely,
Richard Ferrari,
Director-MMAC
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 Liberty Health & Wellness as a provider of services in the MO HealthNet (Medicaid) program, will be terminated at the close of business March 7, 2025.
To facilitate the orderly relocation of MO HealthNet beneficiaries, for residents admitted February 24, 2025, or earlier, payment may continue for up to 30 days for services furnished after March 7, 2025.
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
MMAC has closed the Provider Communication Portal. MMAC and other key stakeholders have been hard at work to finalize a contract for a new, comprehensive Provider Enrollment System. The new system will be used for new provider enrollments and revalidations. The new Provider Enrollment System will also have an integrated (rather than stand-alone) Self-Service Portal.
As MMAC embraces new technology we want to lessen the inconvenience for our providers. Therefore, MMAC has discontinued the use of the Provider Communication Portal, which was launched in August 2024.
MMAC is returning to our previous methods of communication with providers via email and phone. Providers still have various ways to contact MMAC’s Provider Enrollment Unit by emailing mmac.providerenrollment@dss.mo.gov, the Contracts Unit at mmac.ihscontracts@dss.mo.gov, or the Revalidations Unit at mmac.revalidation@dss.mo.gov.
More information will be forthcoming regarding the launch of the new Provider Enrollment System. Projected date for the new Provider Enrollment System is mid-2026.
Thank you for your patience and support as we seek the best technological advancements to best serve you and streamline the work for MMAC. Don’t hesitate to contact us with any questions at (573) 751-3399.
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.
