New Medicaid Rates Now Paying

MO HealthNet has loaded the new rates in the system as of end of October 2022.

MO HealthNet has loaded the new rates in the system! This means claims entered starting October 28, 2022 will pay at the higher rate. MO HealthNet will send out a bulletin regarding reprocessing claims back to July 1, 2022. Do not reprocess your claims; MO HealthNet will do a mass adjustment!

The Centers for Medicare & Medicaid Services has approved the MO HealthNet Division (MHD) state plan amendment for the July 1, 2022 provider rate increase. The claims processing system has been updated with the new maximum allowable reimbursement rates. MHD will reprocess claims paid for dates of service on or after July 1, 2022.