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Missouri Medicaid (MO HealthNet)Medicaid · Administrative · Provider Notice · MO · Psychiatry, Occupational Therapy, Physical Therapy +1 moreHigh impact

Department of Mental Health and Brain Injury Waiver Providers: Be Prepared for Electronic Visit Verification Hard Launch

Act
by Sep 30, 2026
Effective date
Oct 1, 2026
Identified
Jul 28, 2026

Summary

The Missouri Department of Mental Health and Brain Injury Waiver program is implementing a hard launch of Electronic Visit Verification (EVV) requirements on October 1, 2026. After this date, all claims for DDD and Brain Injury Waiver personal care services (Provider Type 85) must have an active EVV vendor in the EVV Aggregator Solutions (EAS) system and verified visits documented, or claims will be automatically denied.

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What to do

by Sep 30, 2026 · 9 steps
01Providers billing for Department of Mental Health Division of Developmental Disabilities (DDD) and Brain Injury Waiver personal care services (Provider Type 85) must complete the following.
02Establish and verify an active EVV vendor relationship in the EVV Aggregator Solutions (EAS) system if not already completed.
03Confirm new or switched EVV vendors are registered in EAS before billing.
04Ensure all participants are enrolled in EAS for each specific provider account (participants do not automatically transfer between provider IDs).
05For multi-provider-type operations, work with EVV vendor to submit participant listings to Sandata for each separate EAS account to enable visit-to-claim matching.
06Log into EAS before each billing cycle to verify all visits are in verified status.
07Billing team must update claim submission workflows to validate EVV verification status prior to claim submission.
08After October 1, 2026, any claims submitted without verified EVV documentation will be automatically denied.
09Contact Sandata at MOAltEVV@sandata.com or (833) 350-5844 for EAS questions, or Ask.EVV@dss.mo.gov for EVV claims validation inquiries.

Original notice

Department of Mental Health and Brain Injury Waiver Providers: Be Prepared for Electronic Visit Verification Hard Launch
mydss.mo.gov · Always check the source before changing claims.
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Missouri Medicaid (MO HealthNet) policiesMO policy changesPsychiatryOccupational TherapyPhysical TherapySpeech Therapy

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