Missouri Medicaid Audit & Compliance (MMAC) will begin implementing new provider enrollment procedures during 2015 to comply with federal laws requiring all Medicaid providers to revalidate their state enrollments at least every five years. Other changes will include conducting pre-enrollment site visits for certain provider types and collecting a federally mandated enrollment application fee from institutional providers (individual physicians, dentists and individual non-physician practitioners are exempt from paying the fee).
Providers can ensure receiving information in a timely manner by making sure we have your current address, telephone number(s), e-mail address and the name of your primary contact person. Please submit any changes or updated information to MMAC by downloading the “Provider Update Request” form at https://mmac.mo.gov/providers/provider-enrollment/new-providers/provider-enrollment-forms. The completed forms can be scanned and sent by e-mail to mmac.providerenrollment@dss.mo.gov or they can be faxed to the Provider Enrollment Unit at (573) 751-5065.
Be sure to check MMAC’s website regularly to get information on upcoming changes and other helpful tips for MO HealthNet providers.
The Missouri Medicaid Audit & Compliance (MMAC) Provider Enrollment Unit (PEU) has processed several applications for enrolling Physician Assistants. PEU personnel assign provider numbers and create the appropriate electronic accounts, permitting the new providers to begin submitting claims for health care services provided to Medicaid participants. At this time, MO HealthNet Division and its fiscal agent are still completing required system work to enroll and reimburse Physician Assistants.
Once MMAC receives notification that the system work is complete, PEU personnel will assign the provider number and finalize creation of the enrollment records. MMAC will backdate the effective date of the new Medicaid provider enrollments to the date the applications were originally received. In the meantime, providers can continue getting reimbursed under their current billing arrangements, or they can hold their claims until their provider numbers have been assigned. MO HealthNet permits providers to file claims for reimbursement up to one year after the services were actually provided.
