Back to dashboard
MedicaidAdministrativeMedium impact

Nursing Home Coverage for Participants within the Adult Expansion Group (E2) and Managed Care

Missouri Medicaid (MO HealthNet)·MO · Geriatrics·Provider Notice
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

MO HealthNet is hosting webinars on March 23 and April 11 to clarify nursing home billing for Adult Expansion Group (E2) participants enrolled in Managed Care plans. The sessions will cover room and board billing, the 60-day rule, prior authorization requirements, and participant surplus rules.

Action Required

Action needed
By March 23, 2023: Register for one of the scheduled webinars (March 23 at 10:30AM or April 11 at 9:00AM) to learn updated billing procedures for nursing home coverage for Adult Expansion Group participants. Billing team should attend to understand room and board billing, 60-day rule requirements, and participant surplus procedures to ensure proper claim processing.

Related policy hubs