MedicaidReimbursementMedium impact
Rate Increase
Missouri Medicaid (MO HealthNet)·MO · Psychiatry, Physical Therapy, Occupational Therapy +1 more·Reimbursement
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Missouri Medicaid (MO HealthNet) has implemented provider rate increases effective July 1, 2022, with new maximum allowable reimbursement rates and daily unit limits for behavioral health, therapy, and audiology services. Claims will be automatically reprocessed, but providers must manually adjust any claims with units exceeding the new daily maximums.
Action Required
Immediately: Review all Missouri Medicaid claims for behavioral health, physical/occupational/speech therapy, and audiology services billed on or after July 1, 2022. Identify claims with units exceeding new daily maximums and file claim adjustments to correct unit quantities. Update billing charge amounts if they were billed below the new higher maximum rates to capture additional reimbursement. Reference provider bulletins Volume 45 Numbers 08, 12, 14, and 19 for specific unit definitions and daily limits.