MedicaidAdministrativeHigh impact
EVV Claims Validation - Non-Compliant Claims Will Deny Beginning April 1, 2026
Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Apr 1, 2026
We identified it
Jun 20, 2026
Summary
Starting April 1, 2026, Missouri Medicaid will deny all claims for personal care, homemaker, and respite services from provider types 26 and 28 if they lack matching Electronic Visit Verification (EVV) records in the state system. This means no payment for non-compliant EVV claims beginning with the April 24, 2026 deposit.
Action Required
By April 1, 2026: Provider types 26 and 28 must ensure ALL personal care, advanced personal care, consumer-directed services, homemaker, chore, and respite service visits are recorded in the EVV Aggregator Solution (EAS) BEFORE submitting claims. Billing team must verify EVV compliance for each claim or payments will be denied. Contact Ask.EVV@dss.mo.gov for technical assistance and sign up for training webinars through the Provider Training Calendar.