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MedicaidReimbursementMedium impact

Primary Care Rate Increase Program Ending

Missouri Medicaid (MO HealthNet)·MO · Family Medicine, Internal Medicine, General Practice +1 more·Reimbursement
Effective date
Dec 31, 2014
We identified it
Jun 20, 2026
Days to comply

Summary

The MO HealthNet primary care rate increase enhancement payments ended on December 31, 2014. Providers will no longer receive the enhanced reimbursement rates that were part of this temporary program and should expect standard Medicaid reimbursement rates going forward.

Action Required

Action needed
Immediately: Billing team should verify that billing system is set to use standard MO HealthNet reimbursement rates (not enhanced rates) for all primary care services. Review any pending claims from before December 31, 2014 to ensure proper rate application. Contact MO HealthNet if questions arise about rate calculations.