MedicaidAdministrativeHigh impact
Electronic Visit Verification (EVV) Claims Validation: Second Phase of Hard Launch
Missouri Medicaid (MO HealthNet)·MO·Provider Bulletin
Effective date
May 12, 2026
We identified it
Jun 20, 2026
Summary
Missouri Medicaid is implementing the second phase of Electronic Visit Verification (EVV) claims validation with stricter enforcement beginning May 12, 2026. Claims for personal care services and other EVV-required services will now undergo hard validation against EVV data and may be denied if EVV requirements are not met.
Action Required
By May 12, 2026: All providers billing Missouri Medicaid for personal care services must ensure Electronic Visit Verification (EVV) data is properly submitted for each service encounter. Update billing workflows to verify EVV compliance before claim submission. Train staff on EVV requirements as claims will now be subject to hard validation and may be denied without proper EVV documentation.