State and federal regulations require all currently enrolled Medicaid providers to revalidate their enrollment at least every five (5) years. MMAC has established a revalidation schedule for all currently enrolled providers. 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. More information on revalidation is available under the Providers tab here on our website. Under the Providers tab, choose Provider Enrollment, and Revalidating Providers.
All MO HealthNet providers are required by state regulations to disclose certain information to Missouri Medicaid Audit & Compliance (MMAC) during their initial enrollment or revalidation processes. Those mandatory disclosures include:
The name, address, date of birth, social security number, or other tax identification number of any person with a five percent (5%) or more ownership or control interest in the applying provider and any subcontractors in which the applying provider has a five percent (5%) or more interest; Whether any person with an ownership interest in the applying provider is related to another person with ownership or control interest in the applying provider as a spouse, parent, child, or sibling; Whether any person with an ownership or control interest in any subcontractor in which the applying provider has a five percent (5%) or more interest is related to another person with ownership or control interest in the applying provider as a spouse, parent, child or sibling. The name, address, date of birth and social security number of any managing employee of the applying provider.
Disclosures must be updated within thirty-five (35) days of any changes in information required to be disclosed.
MMAC is required to collect the disclosed information to screen individuals and legal entities with ownership and control interest against various state and federal exclusion databases.
Please review 13 CSR 65-2.020 for more information or email MMAC.ProviderEnrollment@dss.mo.gov if you have questions.
MMAC utilizes MO HealthNet (MHD) provider hot-tips and provider bulletins to keep providers informed about its activities. MMAC website updates will be sent to MHD in the form of hot-tips or bulletins for providers. We encourage providers to sign up for MO HealthNet News.
Provider Update Training is scheduled for April 21, 22, and 23, 2015. This Provider Update Training is for Home and Community Based Services Providers. Please open this notification and click on the link for additional information.
