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MedicaidCoverageMedium impact

90 Day Supply Requirement

Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Oct 21, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

MO HealthNet (Missouri Medicaid) is implementing a new Extended Supply Fiscal Edit requiring participants to receive a 90-day supply for select medications. The complete list of affected medications can be found on their website.

Action Required

Action needed
By October 21, 2021: Billing team and providers must review the complete list of medications requiring 90-day supplies at https://dss.mo.gov/mhd/cs/pharmacy/pages/clinedit.htm. Update prescription practices to ensure affected medications are prescribed for 90-day supplies for MO HealthNet participants. Claims may be denied if proper supply requirements are not met.