According to state regulation 13 CSR 65-2.020(1)(A), all persons are required to enroll with the Missouri Medicaid Audit and Compliance unit (MMAC) as a billing or performing provider in the MO HealthNet Program if the services or items they provide will be billed to the MO HealthNet Program. This requirement applies to all Individual and Organizational providers who are affiliated with PACE Organization.
Any Individual or Organizational PACE provider working for a PACE Organization must enroll with MMAC as a non-billing provider unless they are already enrolled with MMAC. Providers who are already enrolled with MMAC as a FFS, MCO, or OPR provider do not need to submit another application as an Individual or Organizational PACE Provider.
MMAC has created an enrollment packet for Individual and Organizational PACE providers to enroll with MO HealthNet as a non-billing provider. Contact the MO HealthNet Division at MHD.PACE@dss.mo.gov, if you are interested in enrolling to become a PACE Organization provider. Click here for the PACE provider Individual and Organizational applications.
Please submit any questions you may have to MHD.PACE@dss.mo.gov