MedicaidCoverageMedium impact
Coverage for Pregnant Women
Missouri Medicaid (MO HealthNet)·MO · OB-GYN·Provider Notice
Effective date
Jun 15, 2015
We identified it
Jun 20, 2026
Summary
Medicaid has expanded allowable ME (Member Eligibility) codes for billing obstetrical services to pregnant women. In addition to commonly used ME codes, providers can now use ME 05, 13, 06, and 71-75 for obstetrical care when patients become pregnant, with some codes providing full dental benefits.
Action Required
Immediately: Billing team must update Medicaid billing procedures to accept expanded ME codes (ME 05, 13, 06, 71-75) for obstetrical services when patients become pregnant. Update billing system eligibility verification to recognize these additional codes as valid for obstetrical care. Train staff on eligibility code changes to prevent claim rejections.