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Electronic Visit Verification (EVV) - Soft Launch of Claims Validation
Missourisub_regulatoryDepartment of Social Services — MO HealthNet Division (MHD)
What this rule requires your agency to do
- 1Providers must review their Remittance Advice (RA) for Remittance Advice Remark Codes indicating claims that did not match EAS visits, in order to prepare for hard-edit denials.(Electronic Visit Verification (EVV) - Soft Launch of Claims Validation)
- 2As of January 7, 2026, claims submitted to MO HealthNet for EVV-required services must match verified EAS visit data on five elements: Department Client Number (DCN), Date(s) of Service, Provider Medicaid ID, Procedure Code/Modifier(s), and Number of Units.(Electronic Visit Verification (EVV) - Soft Launch of Claims Validation)
Applies to: cross-cutting
MO HealthNet's January 7, 2026 EVV claims-validation soft launch compares submitted claims against EAS visit data on five key elements, notifying providers of non-matches via Remittance Advice without denying payment during the soft-launch period.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.