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MedicaidAdministrativeMedium impact

Verifying Participant Eligibility

Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Apr 24, 2017
We identified it
Jun 20, 2026
Days to comply
—

Summary

Missouri Medicaid (MO HealthNet Division) clarifies that despite new Emomed system functionality allowing providers to view participant information up to 31 days in the future, eligibility verification is still required on each specific date of service. This is a technical system enhancement only and does not change the existing day-specific eligibility policy.

Action Required

Action needed
Immediately: Continue verifying MO HealthNet participant eligibility on each date of service despite new Emomed preview functionality. Do not rely on future eligibility displays for billing purposes. Staff should check eligibility daily as participant status can change between visits. Reference the 'Verifying Participant Eligibility' document on the Provider Participation page for detailed procedures.

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