How Does Dental Medicaid Revalidating Work in Missouri?

May 14, 2024

For providers thinking about or already enrolled in Missouri Dental Medicaid, it’s important to understand the revalidating process.

Find the answers to our top questions below.

What’s the difference between revalidating and recredentialing?

Nothing, really! Missouri Medicaid Audit & Compliance (MMAC) and MO HealthNet use the term “revalidate” while the Managed Care plans use the term “recredential.”

Both terms refer to submitting your up-to-date provider information, so your enrollment stays active.

This post uses the term “revalidate” unless specifically referring to Managed Care plans.

How often do I need to revalidate for dental Medicaid?

  • MO HealthNet (fee for service) revalidates providers every 5 years.
  • Managed Care plans recredential providers every 3 years.

Why is revalidating necessary?

The primary reason for revalidating is simply to ensure your address/es and provider information are up to date.

Will I get a revalidation reminder?

Yes! MO HealthNet and the Managed Care plans will send a notification by mail and email. Billers will also see a notification in the billing portals.

It’s important for dental Medicaid providers to keep their contact information current, so these notices go to the right place.

You can use the Provider Update Request form to report changes in contact information and more at any time.

  • Separate forms are needed for each provider type, individual, or group.
  • You must complete sections 1 and 2.
  • Include the effective date where indicated.
  • Fax the completed and signed form and any required documents to (573) 634-3105.

What if my information changes before the revalidation period?

Use the Provider Update Request form mentioned above to update your information with MMAC at any time. Be sure to follow the instructions carefully to avoid a denial of your request.

What documents do I need to include with my revalidation paperwork?

Use the Revalidation Requirements resource to ensure you are submitting a complete and accurate application when you revalidate through MMAC/MO HealthNet. The required documentation can vary based on your provider type.

The Managed Care plans may require different documentation. Be sure to read through your recredentialing notices and paperwork carefully before submitting.

If you’re feeling unsure, contact your Medicaid Mentor and we’ll point you in the right direction!

Have more questions?

We can help with those, too. Jessica Emmerich, your Medicaid Mentor, is here to help you navigate all things Missouri dental Medicaid. You can reach her by email, call, or text at