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2023/05/30

New Provider Updates

New Hot Tips have been posted to MO HealthNet

MO HealthNet Provider Updates

May 30, 2023


Bulletins

Urological Supplies-Billing Update

May 22, 2023

  • Beginning 10/17/2022, DME pre-certifications for A4331, A4357, A4402, and A5102 generated with only the NU modifier in error. In order for claims to pay for DME urological supplies requiring a pre-certification, providers must bill with AU NU modifiers. All pre-certifications entered on or after 10/17/2022, for the above listed codes, have been updated with the AU NU modifiers. Providers can now re-submit claims for dates of service on or after 10/17/2022 for these codes, with the AU NU modifiers. Read more...

Hot Tips

Home and Community Based Services Miscellaneous Payment

May 25, 2023

  • Home and Community Based Services (HCBS) providers may be issued a payment coded as MIS (Miscellaneous) in May 2023. As a reminder, this payment is the Electronic Visit Verification (EVV) Value Based Incentive Payment. The incentive payments are based on criteria outlined in INFO 10-22-01. The payment was issued for all HCBS providers with visit data in the Electronic Aggregator System (EAS) during the March 1, 2023 – March 31, 2023 time frame. To review how payments were calculated, review INFO 05-23-02. Questions regarding this should be directed to the Bureau of Long Term Services and Supports (BLTSS) via e-mail at LTSS@health.mo.gov. Read more...

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