MedicaidAdministrativeMedium impact
Durable Medical Equipment (DME) Pre-Certification Requests from Third Party Vendors
Missouri Medicaid (MO HealthNet)·MO · Family Medicine, Internal Medicine, General Practice +4 more·Provider Notice
Effective date
Jul 15, 2024
We identified it
Jun 20, 2026
Summary
MO HealthNet no longer accepts DME pre-certification requests from third-party vendors. Only enrolled physicians can initiate DME pre-certification requests, and only enrolled DME providers can access and complete them.
Action Required
Immediately: Stop using third-party vendors for MO HealthNet DME pre-certification requests. Ensure only enrolled physicians initiate DME pre-certifications and only enrolled DME providers access them. Update workflow to have physicians directly submit pre-certification requests to MO HealthNet.