MedicaidReimbursementHigh impact
Upcoming Changes to the MO HealthNet Fee Schedule
Missouri Medicaid (MO HealthNet)·MO·Reimbursement
Effective date
Jun 30, 2026
We identified it
Jul 1, 2026
Summary
MO HealthNet has released an updated fee schedule effective 06/30/2026. This is a state Medicaid reimbursement rate change that will affect all Missouri providers billing to MO HealthNet. The billing team must obtain and implement the new fee schedule in their billing system to ensure accurate claim submission and reimbursement.
Action Required
By June 30, 2026: Billing team must download the new MO HealthNet Fee Schedule from https://mydss.mo.gov/mhd/bulletins/upcoming-changes-mo-healthnet-fee-schedule and update all billing software with revised reimbursement rates. Providers must verify that fee schedules for all commonly billed CPT/HCPCS codes reflect the new rates before the effective date. Failure to update rates may result in underbilling or claim processing delays. Finance team should reconcile current fee schedules against the new document (48-69 File New Fee Schedule.docx) to identify all affected codes.