Revalidating Providers

New state and federal regulations require all currently enrolled Medicaid providers to revalidate their enrollment at least every five (5) years.  MMAC will contact currently enrolled providers approximately 120 days prior to their scheduled revalidation due date.  Instructions and forms will be provided by mail or e-mail.  The completed revalidation applications forms, and any requested accompanying documentation, should be returned to MMAC prior to the established due date using one of the following methods:

  • Scan and e-mail to
  • Fax to MMAC Revalidation at (573) 634-3105
  • Mail to MMAC Revalidation, Missouri Medicaid Audit & Compliance, P.O. Box 6500, Jefferson City, MO 65102 or the physical address is 205 Jefferson Street, 2nd Floor, Jefferson City, MO 65102.

Applications and Forms

Application Fees

Fingerprint Based Criminal History Checks

Provider Assigned Risk Categories

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