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 (MCOs). This requirement applies to ordering, prescribing, and referring “OPR” providers in the managed care setting, as well.
This requirement does not cause managed care network providers to see Fee-For-Service (FFS) Medicaid clients. Providers who are already enrolled with MO HealthNet as a FFS or OPR provider do not need to submit another application as a MCO Network Provider.
Missouri Medicaid Audit & Compliance has created two enrollment application forms for MCO network providers to enroll with MO HealthNet as a non-participating provider. Click here for the individual physician or non-physician practitioner provider application and here for the organizational provider application.
MCO network providers may begin submitting their MO HealthNet applications to MMAC immediately.
Please submit any questions you may have to MMAC.ProviderEnrollment@dss.mo.gov
Dear Stakeholder:
Re: Governor Eric Greitens’ Executive Order 17-03
Due to public interest, the Missouri Department of Social Services’ public rule review comment period has been extended and will now end on October 15, 2017. And, we have added four more public hearings. The public is welcome to come at any time between 10:00 a.m. and 1:00 p.m. and provide one-on-one comments to representatives of DSS about the agency’s rules.
Hannibal Monday, September 11
10:00 am – 1:00 pm
Children’s Division Office
3055 Holman Drive Joplin Tuesday, September 19
10:00 am – 1:00 pm
Children’s Division Office
601 Commercial Cape Girardeau Monday, September 25
10:00 am – 1:00 pm
Children’s Division Office
471 Siemer Drive St. Joseph Tuesday, October 3
10:00 am – 1:00 pm
Children’s Division Office
525 Jules Street
If you believe one of these or any of our many other topics may affect you, please review our rules at the Code of State Regulations, and give us your comments on how we can improve them.
Comments can be submitted via multiple methods:
Web: DSS Rule Tracking Website Email: rules.comment@dss.mo.gov In Person: (see dates above)
For more information on the Governor’s initiative to cut government red tape, and to view upcoming public hearings or leave public comments for other state departments, visit NoMORedTape.com. If you have any questions about the public comment period, please contact Caleb Neeley at (573) 526-0414.
