Medicaid Wrap-Around Payment Changes

Mo HealthNet’s policy regarding wrap-around payments to provider-based and independent rural health clinics is changing in 2016.

Beginning in January, Mo HealthNet will process Supplemental Managed Care Interim Payment Requests quarterly and will only accept one request per quarter for each fiscal year. Requests should not contain dates of service from more than one fiscal year.

Supplemental Managed Care Interim Payment Requests will be due to Mo HealthNet the first day of each quarter. The requests should include prior dates of service for which the facility has received health plan payment.

MHD will process payments in the first financial cycle of the second month of each quarter. The wrap-around payments will be reflected in the second check of that month. For example, payment requests submitted January 2, 2016 will be processed in the first financial cycle of February, and the payments will be reflected in the second check issued in February.

Click here for more information from MHD on the change.