MedicaidCoverageLow impact
Syphilis: A Provider’s Guide to Treatment and Prevention
Missouri Medicaid (MO HealthNet)·MO · Family Medicine, Internal Medicine, OB-GYN +2 more·Provider Notice
Effective date
Jan 6, 2025
We identified it
Jun 20, 2026
Summary
Missouri has issued guidance for providers on syphilis testing and treatment due to a 600% increase in cases since 2013. For MO HealthNet (Medicaid) patients, there is no limit on the number of syphilis tests that can be billed, and providers should bill normally for reimbursement of each test.
Action Required
Immediately: Billing team should note that MO HealthNet (Medicaid) patients have no testing limits for syphilis screening. Continue billing syphilis tests normally for each encounter without frequency restrictions. Review CDC Syphilis Pocket Guide for Providers for clinical guidance.