MedicaidBilling CodesMedium impact
Outpatient Hospital Billing Tips for 340B Providers
Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Apr 3, 2018
We identified it
Jun 20, 2026
Summary
MO HealthNet (Missouri Medicaid) requires 340B providers to submit outpatient hospital drug claims with valid HCPCS codes and NDCs, using revenue code 0250 for drugs without HCPCS codes. Claims will be denied if the NDC doesn't match the submitted HCPCS code per the Noridian Crosswalk.
Action Required
Immediately: Billing team must ensure all outpatient hospital drug claims for 340B providers include valid HCPCS codes with matching NDCs. Use revenue code 0250 for drugs without valid HCPCS codes. Verify NDC-to-HCPCS matching using the Noridian Crosswalk at https://www.dmepdac.com/ before claim submission. Claims with mismatched NDC/HCPCS combinations will be denied.