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ENROLLMENT OF MANAGED CARE NETWORK PROVIDERS

July 19th, 2017

Beginning January 1, 2018, according to federal regulation 42 CFR 438.602, states must screen and enroll, and periodically revalidate, all network providers of managed care organizations.  This requirement applies to ordering, prescribing, and referring “OPR” providers in the managed care … Continued

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PROVIDER ENROLLMENT THROUGH CREDENTIALING AGENCIES

April 20th, 2017

The Missouri Medicaid Audit and Compliance Unit (MMAC) enrolls MO HealthNet Fee for Service providers.  Many providers utilize credentialing agencies to submit their enrollment paperwork and any subsequent updates.  All enrollment approvals and updates are confirmed when MMAC sends an … Continued

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Provider Enrollment Faxing Instructions

February 14th, 2013

In order to facilitate the enrollment process, please fax all documentation other than the “signature” page to (573-751-5065) or you may scan and email the verification documentation to mmac.providerenrollment@dss.mo.gov, which may include tax documents, Medicare enrollment verification, Board of Healing … Continued

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