The Missouri Medicaid Audit & Compliance (MMAC) Unit is issuing this notice to inform select providers of an upcoming, two-phased off-cycle provider revalidation initiative. This initiative is being undertaken in partnership with the Centers for Medicare & Medicaid Services (CMS), and in consultation with the Office of Governor Mike Kehoe and the MO HealthNet Division (MHD).
This revalidation effort follows Governor Kehoe’s recent communication with CMS regarding enhanced program integrity expectations and federal oversight activities. Governor Kehoe has conveyed Missouri’s commitment to an accelerated revalidation strategy of specific Medicaid provider types to ensure continued compliance with current federal and state screening, enrollment, and program requirements. This off cycle revalidation process is a key component of that strategy and is intended to reduce fraud and strengthen program integrity.
What This Means for Providers MMAC has initiated a two-phase revalidation cycle for selected provider types and individual providers outside of the normal revalidation cycle. Providers selected for this off cycle review will receive the standard 120-, 90-,60-, and 30-day letters via email at the address listed in their eMOMED account. It is the provider’s responsibility to ensure their eMOMED account contact information is up to date. If providers receive a revalidation letter(s) via email, they must revalidate prior to the deadline noted in the letter.Failure to complete the required revalidation steps within the designated timeframe will result in administrative action, including termination as a provider from the MO HealthNet program.
Who Needs to Revalidate Phase I: The following Provider Types shall revalidate prior to October 1, 2026: Adult Day Care providers (Provider ID beginning with “29”) Durable Medical Equipment Suppliers (Provider ID beginning with “62”) Providers without NPIs, Any other provider identified as “high-risk” by CMS or MMAC. Includes Clinics (Provider ID beginning with “50”) with an Autism Center (Specialty code of “AC”) Timeline of events for Phase I: May 4 – May 30, 2026: Public Notice and educational campaign June 1 – Sept. 1, 2026: Monthly 120, 90, 60, 30-day revalidation notices sent to providers. October 1, 2026: Initiation of Administrative Action, including termination, for non-compliant providers.Phase II: The following Provider Types shall revalidate prior to March 2, 2027: Home Health Agencies (Provider Type #s beginning with “58”) Private Duty Nursing (Provider Type #s beginning with “94”) Applied Behavioral Analysts (Provider Type #s beginning with “73”) Hospice (Provider Type #s beginning with “82”) Substance Abuse (Provider Type #s beginning with “86”) Timeline of events for Phase II: Oct. 1 – Oct. 31, 2026: Public Notice and educational campaign Nov. 1, 2026 – Feb. 1, 2027: Monthly 120, 90, 60, 30-day revalidation notices sent to providers. March 3, 2027: Initiation of Administrative Action, including termination, for non-compliant providers.
MMAC appreciates your cooperation and partnership as we implement these measures to safeguard the integrity of the MO HealthNet program and ensure continued compliance with CMS guidelines.
If you have questions regarding this notice, please contact:
Missouri Medicaid Audit & Compliance (MMAC)
Provider Revalidation Unit
mmac.revalidation@dss.mo.gov
573-751-5238
Sincerely,
Richard Ferrari
Director-MMAC
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
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.
Read more about the application fee and hardship waivers
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.
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
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
