Provider Enrollment

The Provider Enrollment Unit is responsible for enrolling new providers, maintaining provider enrollment records, and answering provider inquiries regarding enrollment for all MO HealthNet Provider types.   The Provider Enrollment staff determines when new provider numbers are issued or when a current provider number will be updated.

After a MO HealthNet provider number has been issued it must be used with all transactions pertaining to MO HealthNet.  If a separate provider number has been issued for different location/practices, the provider is responsible to ensure the appropriate provider number is used when billing.

Each provider application is reviewed and must go through the same audit process even though a provider may have an existing provider number at another practice location.

Applications are processed in date order as received by the Provider Enrollment Unit.  Applications that have been returned to the provider for additional information are not processed with priority.  Internet applications that have been denied due to improper submission or additional information not furnished must be resubmitted and are not processed with priority.

NOTE: Access the Online Application (“Apply to be a Missouri Medicaid Provider”), the Provider Enrollment Guide, and the Civil Rights pages require the latest versions of Internet Explorer or Netscape Navigator.  Firefox and Chrome browsers are not supported.