MedicaidReimbursementMedium impact
Telemedicine (Update)
Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Jul 18, 2022
We identified it
Jun 20, 2026
Summary
MO HealthNet (Missouri Medicaid) clarifies telemedicine billing rules: services are reimbursed at standard fee schedule rates when provided with same standard of care as in-person visits. Key restriction: originating site facility fees cannot be billed when patient is at home.
Action Required
Immediately: Billing team must ensure originating site facility fees are NOT billed to MO HealthNet when patients receive telemedicine services from home. Update billing system rules to block facility fee claims for home-based telemedicine encounters. Verify telemedicine services are billed at standard fee schedule rates, not separate telemedicine rates.