MedicaidBilling CodesMedium impact
Nursing Facility Patient Status Codes
Missouri Medicaid (MO HealthNet)·MO · Geriatrics·Provider Notice
Effective date
Sep 23, 2024
We identified it
Jun 20, 2026
Summary
MO HealthNet (Missouri Medicaid) has clarified proper Patient Status Codes for nursing facility claims. Key changes include using code 30 'Still a patient' when residents temporarily leave but plan to return, and code 20 'Expired' with revenue code 185 for hospital deaths.
Action Required
Immediately: Billing team must update nursing facility claim procedures to use Patient Status Code 30 for temporary discharges with planned returns (like hospital stays), and Patient Status Code 20 with revenue code 185 for participants who expire in hospitals. Review complete status code list and ensure claims are submitted in date order with previous claims in 'Paid' or 'To be paid' status before submitting next date span.