MedicaidCoverageMedium impact
COVID-19: Multi-Function Ventilator
Missouri Medicaid (MO HealthNet)·MO · Critical Care, Pulmonology·Provider Notice
Effective date
Mar 23, 2020
We identified it
Jun 20, 2026
Summary
MO HealthNet Division is providing temporary coverage for multi-function ventilators due to COVID-19. Participants 20 and under use HCPCS E1399EPRR through HCY program, while participants 21+ use E0467UBRR through Exceptions process. Reimbursement is $1001.46 per month.
Action Required
Immediately: Billing team must update system to process ventilator claims using age-specific codes - E1399EPRR for participants 20 and under through HCY program, E0467UBRR for participants 21+ through Exceptions process. Set monthly reimbursement rate at $1001.46. Update encounter forms to capture participant age for proper code selection.