MedicaidCoverageMedium impact
COVID-19: DME: Multi-Function Ventilator
Missouri Medicaid (MO HealthNet)·MO · Pulmonology, Critical Care, Emergency Medicine·Provider Notice
Effective date
May 12, 2023
We identified it
Jun 20, 2026
Summary
MO HealthNet (Missouri Medicaid) provided temporary coverage for multi-function ventilators (HCPCS E0467) during the COVID-19 Public Health Emergency, but this coverage will end on May 12, 2023. After this date, Missouri Medicaid will no longer reimburse for this equipment.
Action Required
By May 11, 2023: Billing team must stop submitting claims for HCPCS code E0467 (multi-function ventilator) to Missouri Medicaid. Update billing system to flag this code as non-covered for MO HealthNet. Notify providers that alternative ventilator options or different payers will be needed for patients requiring this equipment after May 12, 2023.