Application Fee

Missouri began collecting application fees July 1, 2015.

State and federal regulations (13 CSR 65-2 and 42 CFR 455.460) require MMAC to -collect an application fee, currently set at $560.00, (Jan. 1, 2017) 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.

Providers can request a hardship waiver of the application fee from CMS, but the fee must be submitted before the application will be processed by MMAC.  If CMS approves the hardship waiver, MMAC will refund the application fee to the provider. Click here for more information regarding requesting a hardship waiver from CMS.

Providers who paid the fee to Medicare or another state Medicaid agency within two (2) years of the date the application to enroll as a MO HealthNet provider is submitted will be exempt from paying an application fee.  All institutional providers will be required to include proof the application fee has been paid before their application will be processed by MMAC.

You can pay electronically using a credit card, debit card or e-check through the contracted state vendor, Jet Pay.  A convenience fee will apply, depending on the form of electronic payment selected. Click here for  Jet Pay website.  The vendor will provide a receipt reflecting the application fee was paid which can be submitted to MMAC with your application.

Providers also have the option of submitting a cashier’s check or money order, made payable to DSS-MMAC Application FeeCash and personal/business checks will not be accepted.  Mail your cashier’s check or money order to:

Missouri Department of Social Services
MMAC Application Fee
P.O. Box 6500
Jefferson City, MO 65102-6500

Hardship Waiver Requests