MedicaidAdministrativeMedium impact
School-Based Individualized Education Plan Speech Therapy Services
Missouri Medicaid (MO HealthNet)·MO · Physical Therapy·Provider Notice
Effective date
May 7, 2026
We identified it
Jun 20, 2026
Summary
Speech therapists providing IEP services in Missouri schools can now bill MO HealthNet (Medicaid) without requiring a PCP referral, as long as they work within their state-licensed scope of practice. The IEP document itself serves as sufficient documentation for ongoing service needs on an annual basis.
Action Required
Immediately: Speech therapy providers working with Missouri school districts should update billing workflows to remove PCP referral requirements for IEP services billed to MO HealthNet. If referrals are received, school districts must file and retain them for the duration of IEP service delivery. Ensure IEP documentation includes therapist signature or signed statement from qualified MO HealthNet therapy provider to support ongoing service needs.