MedicaidReimbursementMedium impact
COVID-19: COVID-19 Testing and Specimen Collection Reimbursement
Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
May 12, 2023
We identified it
Jun 20, 2026
Summary
MO HealthNet is reducing COVID-19 testing reimbursement rates from 100% of Medicare rates to 90% for outpatient settings and 80% for independent laboratories when the public health emergency ends on May 11, 2023.
Action Required
By May 12, 2023: Billing team must update fee schedules in billing system to reflect new MO HealthNet COVID-19 testing rates - 90% of Medicare rate for outpatient COVID testing and specimen collection codes (down from 100%). Notify providers of reduced reimbursement. Update financial estimates for COVID testing services.