Reassessment Packet

Home and Community Based Services providers may choose to participate in the reassessment of participants of the Department of Health and Senior Services, Division of Senior and Disability Services (DSDS) that they serve. This service only applies to personal care, aged & disabled waiver and adult day care services authorized by the DSDS. Additional information is available at http://health.mo.gov/seniors/hcbs/memos.php

To be considered for enrollment, a representative of the company that meets the reassessment minimum requirements must have participated in the Dept. of Health and Senior Services (DHSS) Reassessment training and have a valid certificate prior to submitting a Reassessment application to MO Medicaid. Information regarding training can be found on the DHSS website at https://health.mo.gov/seniors/hcbs/reassessment/index.php

The following application packet must be submitted to be considered for enrollment into the MO Medicaid Reassessment program:

Reassessment Packet

  1. Provider Questionnaire
  2. Enrollment Application
  3. Terms and Conditions
  4. Participation Agreement
  5. Business Organizational Structure Form
  6. Electronic Funds Transfer and copy of a voided check or bank letter
  7. Current documentation from DSDS of completed Reassessment Training registration and attendance (email notice, memo, certificate)
  8. Current FCSR Screening for the listed certified Reassessor

 

Providers may submit their application packet via mail, fax, or e-mail. The preferred method of submission is fax, however, emailing documents in PDF or Word format is acceptable.  MMAC does not accept picture file attachments for enrollment purposes.

Email: MMAC.IHSContracts@dss.mo.gov

Fax Number: 573-634-3105

Mailing Address:

Missouri Medicaid Audit & Compliance Unit
Provider Enrollment – Contracts
PO Box 6500
Jefferson City, MO 65102

Physical Address:

Missouri Medicaid Audit & Compliance Unit
Provider Enrollment – Contracts
205 Jefferson Street, 2nd Floor
Jefferson City, MO 65101