MedicaidCoverageMedium impact
COVID-19: Outpatient Inhaler Treatment
Missouri Medicaid (MO HealthNet)·MO · Emergency Medicine, Family Medicine, Internal Medicine +1 more·Provider Notice
Effective date
Jul 1, 2021
We identified it
Jun 20, 2026
Summary
MO HealthNet (Missouri Medicaid) now covers take-home inhalers for COVID-19 patients and those awaiting test results after exposure, effective July 1, 2021. Coverage is limited to specific inhaler classes and requires proper diagnosis codes (U07.1 or Z20.822), correct NDC billing, and adherence to preferred drug lists.
Action Required
Immediately: Billing team must update MO HealthNet/Missouri Medicaid claims to include primary diagnosis codes U07.1 (COVID-19) or Z20.822 (COVID exposure) when billing for take-home inhalers. Verify inhaler is on preferred drug list at https://pdlsearchabledatabase.pharmacy.services.conduent.com/ before dispensing. Bill inhalers with correct NDC units as one-day supply and limit to one of each inhaler type per visit. Claims without proper diagnosis codes will be denied.