MedicaidAdministrativeMedium impact
Private Duty Nursing OPR Requirement
Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Summary
Effective July 1, 2024, all MO HealthNet (Missouri Medicaid) private duty nursing claims must include the ordering practitioner's NPI number, and the ordering provider must be enrolled with Missouri Medicaid. This is a new billing requirement for private duty nursing services.
Action Required
Immediately: Billing team must update all private duty nursing claims for MO HealthNet to include the ordering practitioner's NPI number. Verify that all ordering providers are enrolled with Missouri Medicaid before submitting claims. Update billing software to require OPR NPI field for Missouri Medicaid private duty nursing services. Claims missing this information will be rejected.