KodaComplyHome care rules, state by state, in plain EnglishDocuments collected September 22, 2026

Missouri home care rules

Missouri licenses home health agencies through the Department of Health and Senior Services (DHSS), but it issues no license for non-medical home care. Agencies that provide Medicaid in-home services such as personal care need a state contract from Missouri Medicaid Audit and Compliance (MMAC) instead. MO HealthNet (Missouri Medicaid) pays for these services, and the state's EVV specification lists three health plans (Home State Health, Healthy Blue and UnitedHealthcare) as payers for personal care and home health. MO HealthNet scheduled denials from April 1, 2026 for personal care and Aged and Disabled Waiver claims that don't match a verified EVV visit.

110 official documents·collected September 22, 2026·checked against them September 22, 2026
License for non-medical home care?NoNo state license. To bill Medicaid for in-home services (personal care, homemaker, chore, respite) you need an MMAC contract.
License for home health?YesDHSS home health license for agencies giving two or more home health services · renewed every year · $600
EVVClaims must matchYour own approved EVV vendor sends visits to the state's Sandata aggregator. From April 1, 2026 (the date set in Bulletin 48-45), personal care and A&D Waiver homemaker, chore and respite claims without a matching verified visit are denied.
Medicaid health plans3 plansHome State Health, Healthy Blue, UnitedHealthcare (listed in the state's EVV specification as payers for personal care and home health)

What changed, and what to do about it

Red means act now, amber means read it this month, grey is for the record.

Act nowHard launch scheduled April 1, 2026 · Bulletin 48-45, Feb. 19, 2026

Personal care and A&D Waiver claims must match a verified EVV visit

Bulletin 48-45 set April 1, 2026 as the date MO HealthNet starts denying claims for DSDS-authorized services (provider types 26 and 28) that have no matching verified visit in the EVV Aggregator Solution (EAS). The claim must match the participant's DCN (Medicaid ID), the dates of service, your Medicaid provider ID, the procedure code and modifiers, and the units. Home health and developmental disabilities providers come in later phases. Newer EVV bulletins (March and May 2026) are Word files we could not download.

What to do: Log in to EAS at least weekly and fix unverified visits before you bill. Don't submit a claim until your EVV vendor has sent the visit to EAS.
Read this monthPublic notice Feb. 25, 2026 · proposed effective July 1, 2026

49-hour weekly limit proposed for Independent Living Waiver personal care and A&D Waiver respite

Missouri proposed limiting Independent Living Waiver personal care to 49 hours a week per participant, and Aged & Disabled Waiver basic and advanced respite to 49 hours a week per participant. The drafts say 32 Independent Living Waiver and 23 respite participants would be affected. The comment period closed March 27, 2026. A July 2026 MO HealthNet bulletin on these limits exists, but it is a Word file we could not download, so we can't confirm the limit is in effect.

What to do: List your participants authorized above 49 hours a week under either waiver. Check with DSDS or MO HealthNet whether the limit is now in effect.
Read this monthApproved July 17, 2026

EVV vendor specification version 14.0

The state's EVV vendor specification now says modifier order matters: visits with modifiers in the wrong order will be rejected. It also updates Healthy Blue's service descriptions (MOBCBS is replaced by MOHB) and adds a recommendation for handling overnight visits.

What to do: Ask your EVV vendor whether it has moved to version 14.0, and check a few recent visits for rejections.
For the recordEffective April 30, 2026

Good cause waiver rule amended

19 CSR 30-82.060, which lets people with disqualifying criminal findings apply to DHSS for a waiver so they can be hired, was amended. A listing on the Employee Disqualification List still can't be waived.

What to do: Before you hire someone who says they have a good cause waiver, confirm it with DHSS, as the rule requires.

Deadlines coming up

Dates taken from the rules and notices as we read them.

28days
October 21, 2026

MMAC annual update meetings for managers (October 21 and 22)

In-home designated managers and Certified CDS Managers must attend one update meeting a year to keep their status.

38days
October 31, 2026

CDS quarterly financial and service report due (July to September quarter)

MMAC's training prints October 31. The rule says 30 days after the quarter ends, which could be read as October 30, so filing by October 30 is safest.

130days
January 31, 2027

CDS annual service report due for 2026

Covers January 1 to December 31, per MMAC's July 2026 CDS manager training.