MedicaidPrior AuthMedium impact
Durable Medical Equipment Prior Authorization
Missouri Medicaid (MO HealthNet)·MO · PM&R (Physical Medicine & Rehab), Orthopedics, Physical Therapy +1 more·Prior Authorization
Effective date
May 12, 2014
We identified it
Jun 20, 2026
Summary
MO HealthNet (Missouri Medicaid) requires prior authorization for certain Durable Medical Equipment services through a paper-based fax process to 573-659-0207. Providers must submit one PA request per fax, use business cover sheets, and wait for approval before delivering DME services.
Action Required
Immediately for Missouri Medicaid patients: Billing team must establish fax workflow to 573-659-0207 for DME prior authorizations. Submit one PA request per fax with business cover sheet including return fax number. Reference Section 19 of DME MO HealthNet provider manual for specific services requiring PA. Do not deliver DME services until approved PA is received. Claims will be denied without proper prior authorization.