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MedicaidAdministrativeMedium impact

Backdating Provider Enrollment Applications

Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Jun 24, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Missouri Medicaid will not backdate provider enrollment applications prior to the date they received the application, except for out-of-state emergency services. Providers can only be enrolled up to a maximum of 365 days prior to actual enrollment date.

Action Required

Action needed
Immediately: Ensure all Missouri Medicaid provider enrollment applications are submitted before providing services. Do not expect backdating of enrollment effective dates. For questions about MO HealthNet enrollment, contact MMAC.ProviderEnrollment@dss.mo.gov. Claims will be denied if services are provided before enrollment effective date.