MedicaidDocumentationHigh impact
DME Program Invoice of Cost Requirement
Missouri Medicaid (MO HealthNet)·MO · Orthopedics, PM&R (Physical Medicine & Rehab), Physical Therapy +1 more·Provider Notice
Effective date
Nov 17, 2025
We identified it
Jun 20, 2026
Summary
MO HealthNet is experiencing increased DME claim delays and denials because providers are not submitting required Invoice of Cost (IOC) documentation with manually priced DME codes. All DME claims requiring IOC must now include this documentation to ensure timely processing and reimbursement.
Action Required
Immediately: Billing team must ensure all DME claims for manually priced codes include the required Invoice of Cost (IOC) documentation before submission. Review Section 5 of the DME Manual to identify which codes require IOC. Update billing workflow to verify IOC attachment for applicable DME claims. Claims submitted without required IOC will be delayed or denied.