Mass Adjustment of Claims for Services Requiring Electronic Visit Verification
Due to a temporary system issue, the MO HealthNet Division (MHD) did not apply Electronic Visit Verification (EVV) validation edits to claims received from Personal Care and Home Health Care providers between May 6, 2026, and May 13, 2026. As a result, some claims that should have been denied were accidentally paid, and others missed required informational alerts.
What is Happening Next?
The State is conducting a mass adjustment to reprocess all affected claims received from May 6, 2026, through May 13, 2026. The claims will be reprocessed through the EVV claims validation edits, as they should have been when initially received. Here is how your claims will be affected:
- Soft launch claims: Will be updated to include the correct informational edits
- Hard launch claims (provider types 26 and 28): Any claim without a matching EAS visit will be denied
- Overpayments: Any payments made in error on hard-launch claims will be recouped
Key Dates to Watch
- May 29, 2026: The adjustment will appear on your Remittance Advice
- June 12, 2026: This is the check date associated with these adjustments
Additional Information and Resources
For more information on the soft and hard launch, review the following MO HealthNet Bulletins:
- Bulletin 47-49: EVV Claims Validation
- Bulletin 48-45: EVV Claims Validation: Key Updates for Providers
To support our providers subject to EVV claims validation, we have created an EVV provider webpage featuring user-friendly resources:
- EVV Provider webpage – A comprehensive hub of educational materials, provider and vendor resources, provider manuals, and targeted Bulletins and Hot Tips.
- Mastering EVV Compliance and Claims Validation – A searchable educational guide designed to help you manage claims validation, ensure accurate documentation, and resolve errors efficiently.
- EVV Setup & Support webpage – Essential guidance for selecting an EVV vendor, completing the required EVV Aggregator Solution Provider Training, and accessing the step-by-step guide: EVV: Requirements, Setup, & Support.
If you have reviewed these resources and require further assistance, please contact Provider Communications at (833) 222-7916 or email Ask.EVV@dss.mo.gov.
For additional resources, refer to the Education and Training Resources page and/or sign up for a live webinar by accessing our Provider Training Calendar. Email MHD.Education@dss.mo.gov for more information.