MedicaidReimbursementHigh impact
Rate Update for DHSS-Authorized Home and Community-Based Services
Missouri Medicaid (MO HealthNet)·MO·Reimbursement
Effective date
Jul 21, 2026
We identified it
Jul 22, 2026
Summary
This policy updates reimbursement rates for DHSS-authorized home and community-based services effective July 21, 2026. The billing team must verify the specific rate changes in the full policy document and update fee schedules, billing software, and claim submission processes to reflect new payment amounts to ensure accurate reimbursement and avoid underbilling.
Action Required
By July 21, 2026: Billing team must obtain the complete policy document (Rate-Update-for-DHSS-Authorized-Home-and-Community-Based-Services.docx) from the Missouri DSS website and extract all rate changes. Update billing software fee schedules for all home and community-based service codes. Providers must review updated rates and adjust claims accordingly. Notify all staff submitting claims for these services of the new rates. Failure to update rates may result in underbilling and loss of revenue. Reconcile any previously submitted claims under old rates if retroactive adjustments apply.