MedicaidAdministrativeMedium impact
Enrolling Pharmacists
Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Mar 7, 2022
We identified it
Jun 20, 2026
Summary
MO HealthNet (Missouri Medicaid) now allows pharmacists to enroll as individual providers in two ways: OPR (Ordering, Prescribing, Referring) providers for prescribing items like COVID tests without billing capability, or full billing providers for clinical services like medication therapy management. Each enrollment type has different applications, timeframes, and requirements.
Action Required
Missouri practices with pharmacists: Determine if pharmacists need OPR enrollment (3-5 days processing) for prescribing COVID tests/nicotine therapy without billing, or full provider enrollment (2-3 weeks processing) for billing clinical services. Ensure pharmacists have individual NPIs before applying. Submit applications with wet signatures to mmac.providerenrollment@dss.mo.gov specifying 'Pharmacist (E5)' as unlisted non-physician practitioner type.