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

PROVIDER REVALIDATION DEADLINE

April 4th, 2019

 

Over 6,535 currently enrolled MO HealthNet providers are past due for revalidation and have not submitted an application to MMAC.  If your NPI is past due and you do not submit your revalidation application within the next 30 days, your NPI will be referred to our Terminations Unit for deactivation. Deactivated providers will be required to re-enroll with Missouri Medicaid, which takes longer to complete than revalidation and may require additional documentation.

 

You can find a list of providers, along with their NPIs and revalidation due dates here:  Provider Revalidation Status. This file is updated weekly. For real time information go to http://www.emomed.com/. 

 

Please go to http://www.emomed.com/ to complete and submit the revalidation application along with any supporting documentation to avoid any interruption in payments.  If you do not have an eMOMED account, please go to http://www.emomed.com/ and register for an account. The eMOMED help desk can be contacted at 573-635-3559 if you have any difficulties navigating the online application.

 

You may also direct revalidation questions to MMAC.Revalidation@dss.mo.gov  or 573-751-5238.

MEDICAID ENROLLMENT APPLICATION FEE FOR 2019

December 26th, 2018

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 $569.00, and it will increase to $586.00 on January 1, 2019.

 

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

 

NEW PROPOSAL PROCESS FOR IN-HOME SERVICES AND CONSUMER DIRECTED SERVICES PROVIDERS

October 10th, 2018

Applicants desiring to contract with MO HealthNet for the purpose of providing In-Home Personal Care Services (IHS) or Consumer Directed Services (CDS) to Medicaid participants are required by 19 CSR 15-7.021(5) to submit a complete proposal packet to Missouri Medicaid Audit & Compliance (MMAC).  Previously, applicants paid the Medicaid enrollment application fee at the time they submitted their proposal.

 

Effective Monday, October 15, 2018, applicants submitting IHS or CDS proposals will no longer be required to submit the enrollment application fee with their proposal packet; it will be submitted later after the proposal has been approved.  MMAC will refund or return any application fees received with a new proposal packet after October 15th.  Applicants who submitted their IHS or CDS proposal prior to October 15th and paid the enrollment will not have their enrollment application fee returned unless their proposal is rejected; it will be applied to their Medicaid application once their proposal has been approved.

 

The MMAC Contracts Unit will send the applicant an email acknowledging receipt of a proposal packet.  The proposal will be evaluated for completeness and compliance with the program requirements for the type of contract being sought.  Applicants should review the proposal requirements and program guidance available on MMAC’s website (IHS and CDS Proposal Information) and make sure they are submitting all required documents.  Applicants also need to keep a copy all documents submitted as part of their proposal packet.

 

Incomplete or non-compliant proposals will be rejected by the MMAC Contracts staff.  Applicants will receive a letter or email from MMAC identifying any parts of their proposal packet that do not meet program requirements.  The rejected proposal will not be returned by MMAC.  Applicants will be required to submit a new and complete IHS or CDS proposal packet to MMAC.

 

Once an IHS or CDS proposal packet has been accepted and approved by MMAC, the applicant will be asked to submit the required Medicaid provider enrollment forms and enrollment fee.

 

Questions regarding proposals or Medicaid enrollment for Home and Community Based Services should be sent to MMAC.IHSContracts@dss.mo.gov

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

 

ENROLLMENT OF MANAGED CARE NETWORK PROVIDERS

September 14th, 2017

Beginning January 1, 2018, according to federal regulation 42 CFR 438.602, states must screen and enroll, and periodically revalidate, all network providers of managed care organizations (MCOs).  This requirement applies to ordering, prescribing, and referring “OPR” providers in the managed care setting, as well.

 

This requirement does not cause managed care network providers to see Fee-For-Service (FFS) Medicaid clients.  Providers who are already enrolled with MO HealthNet as a FFS or OPR provider do not need to submit another application as a MCO Network Provider.

 

Missouri Medicaid Audit & Compliance has created two enrollment application forms for MCO network providers to enroll with MO HealthNet as a non-participating provider.  Click here for the individual physician or non-physician practitioner provider application and here for the organizational provider application.

 

MCO network providers may begin submitting their MO HealthNet applications to MMAC immediately.

 

Please submit any questions you may have to MMAC.ProviderEnrollment@dss.mo.gov

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