Providers Required To Maintain Records For Six (6) Years

June 23rd, 2025

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  Using the link will ensure all correct forms are being used instead of relying on older, outdated forms that may have been saved to a local computer.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

 

MHD EVV BULLETIN

March 1st, 2024

The MO HealthNet Division (MHD) has posted an updated resource regarding Electronic Visit Verification (EVV). This Missouri EVV Aggregator Solution Provider Training provides a brief overview of EVV and offers instruction regarding accessing the EVV Aggregator Solution (EAS).

 

This resource is specific to Missouri EVV requirements and is recommended for new EAS users as well as existing users who wish to expand their knowledge of the system.

 

Refer to the MHD EVV program page for additional information.

 

If you have questions regarding EVV or the new resource, contact Ask.EVV@dss.mo.gov.

 

For additional information on claims, resources, and more, register for an Education and Training provider webinar

MEDICAID ENROLLMENT APPLICATION FEE FOR 2024

January 1st, 2024

State and federal regulations (13 CSR 65-2 and 42 CFR 455.460) require Missouri Medicaid Audit and Compliance (MMAC) to collect an application fee from all new and revalidating “Institutional” Medicaid providers. “Individual” providers such as physicians, dentists and other individual non-physician practitioners are not required to pay the application fee.


The application fee increased to $709.00 on January 1, 2024.


Click Here to read more about the application fee and hardship waivers

MEDICAID ENROLLMENT APPLICATION FEE FOR 2023

December 23rd, 2022

State and federal regulations (13 CSR 65-2 and 42 CFR 455.460) require Missouri Medicaid Audit and Compliance (MMAC) to collect an application fee from all new and revalidating “Institutional” Medicaid providers. “Individual” providers such as physicians, dentists and other individual non-physician practitioners are not required to pay the application fee.


The application fee is currently set at $631.00, and it will increase to $688.00 on January 1, 2023.


Click here to read more about the application fee and hardship waivers

PROVIDER APPLICATION FEE UPDATE

December 21st, 2017

 

State and federal regulations (13 CSR 65-2 and 42 CFR 455.460) require Missouri Medicaid Audit and Compliance (MMAC) to collect an application fee from all new and revalidating “institutional” Medicaid providers.  “Individual” providers such as physicians, dentists and other individual non-physician practitioners are not required to pay the application fee.

 

The application fee is currently set at $560.00, and it will increase to $569.00 on January 1, 2018.

 

Click here to read more about the application fee and hardship waivers

 

Contact Information

    Missouri Medicaid Audit and Compliance
    PO Box 6500, Jefferson City, MO 65102-6500
    Phone: 573 751-3399
    Toll Free Phone: 833 818-1183
    Contact Us Form