MedicaidAdministrativeMedium impact
Participant Responsibility to Pay the Shared Pharmacy Dispensing Fee
Missouri Medicaid (MO HealthNet)·MO·Pharmacy
Effective date
Oct 5, 2017
We identified it
Jun 20, 2026
Summary
MO HealthNet participants are now responsible for paying a shared pharmacy dispensing fee that providers must charge and collect. Providers cannot reduce services if patients can't pay, but must track both collected and uncollected amounts as legal debt.
Action Required
Immediately: Billing team must implement pharmacy dispensing fee collection for MO HealthNet participants. Update billing system to track collected and uncollected fee amounts separately. Train front desk staff to collect fees at time of service but provide services regardless of payment. Establish tracking system for outstanding fees as legal debt.