MedicaidCoverageMedium impact
Expand Your Referral Base for Participants with Prediabetes and Offer Participants Diabetes Education
Missouri Medicaid (MO HealthNet)·MO · Family Medicine, Internal Medicine, Endocrinology +1 more·Provider Notice
Effective date
Feb 19, 2026
We identified it
Jun 20, 2026
Summary
MO HealthNet (Missouri Medicaid) now covers Diabetes Prevention Program (DPP) services for prediabetic participants and Diabetes Self-Management Training (DSMT) for diabetic participants. Both services require physician referrals or prescriptions and are available through certified providers.
Action Required
Immediately: Billing team should review Section 2.67 (DPP) and Section 2.55 (DSMT) of the MO HealthNet Physician's Manual to understand covered services and billing requirements. Providers should begin identifying eligible prediabetic and diabetic patients for referrals to these covered programs. Update referral workflows to include DPP and DSMT options for appropriate Missouri Medicaid patients.