MedicaidAdministrativeMedium impact
Electronic Visit Verification (EVV) - Soft Launch of Claims Validation
Missouri Medicaid (MO HealthNet)·MO · Physical Therapy, Occupational Therapy·Provider Notice
Effective date
Jan 7, 2026
We identified it
Jun 20, 2026
Summary
Starting January 7, 2026, Missouri Medicaid (MO HealthNet) will begin validating claims requiring Electronic Visit Verification (EVV) against visit data in their system. During this soft launch period, non-matching claims won't be denied but providers will receive notification codes on remittance advice to prepare for future hard edits that will deny payment.
Action Required
By January 7, 2026: Providers billing EVV-required services to Missouri Medicaid must ensure all claims match verified visit data in the EVV Aggregator Solution (EAS) for Department Client Number, dates of service, Provider Medicaid ID, procedure codes/modifiers, and number of units. Review remittance advice remark codes starting January 7th to identify any mismatches and prepare for future hard edits that will deny non-matching claims. Contact Ask.EVV@dss.mo.gov with questions and consider attending available webinars.