MedicaidCoverageMedium impact
COVID-19: At-Home COVID Test Coverage
Missouri Medicaid (MO HealthNet)·MO · Family Medicine, Internal Medicine, General Practice +1 more·Provider Notice
Effective date
Nov 1, 2021
We identified it
Jun 20, 2026
Summary
MO HealthNet now covers at-home COVID-19 tests through pharmacy benefit when prescribed by enrolled providers, with $12 reimbursement per unit. Coverage applies to dual-eligible participants when tests are excluded from Medicare Part D, and pharmacists can prescribe these tests under PREP Act authority.
Action Required
Immediately: Billing team must verify MO HealthNet provider enrollment status for prescribing at-home COVID-19 tests. Update pharmacy billing system to process at-home COVID test claims at $12 reimbursement rate. Train staff on covered test list and dual-eligible patient identification. Claims will only be reimbursed when prescribed by enrolled MO HealthNet providers.