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MedicaidReimbursementLow impact

Home and Community Based Services Miscellaneous Payment

Missouri Medicaid (MO HealthNet)·MO·Reimbursement
Effective date
May 25, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

HCBS providers may have received miscellaneous (MIS) coded payments in May 2023 for Value Based Incentive Payments from both DHSS (for Electronic Visit Verification compliance) and DMH DD (for nine approved value-based incentives). These are legitimate incentive payments that providers should expect to see on their remittance advice.

Action Required

Action needed
Immediately: HCBS billing teams should review May 2023 remittance advice for any MIS (Miscellaneous) coded payments. Contact LTSS@health.mo.gov for DHSS EVV incentive payment questions or DMHDD.VBP@dmh.mo.gov for DMH DD value-based incentive questions if clarification is needed on received payments.