MedicaidDocumentationMedium impact
Retrospective Inpatient Certification Due to Incarceration
Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Jan 22, 2024
We identified it
Jun 20, 2026
Summary
MO HealthNet now requires specific documentation when submitting retrospective inpatient certification requests for incarcerated participants. Hospitals must indicate incarceration status on request letters and attach recoupment letters from Centurion when applicable.
Action Required
Immediately: Billing team must update retrospective inpatient certification workflow to include incarceration status documentation on MO HealthNet request letters. Add field to track participant incarceration status and attach Centurion recoupment letters when applicable. Mail all retrospective certifications to CONDUENT at P.O. Box 105110, 3425 West Truman Blvd, Jefferson City, MO 65110. Failure to include proper documentation may result in dismissed requests.