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Missouri Code of State Regulations

Chapter 3

Mo. Code Regs. Ann. tit. 13, ch. 70-3

Conditions of Provider Participation, Reimbursement and Procedure of General Applicability

Mo Healthnet Division

13 CSR 70-3.020Title XIX Provider Enrollment (Rescinded March 30, 2022)13 CSR 70-3.030Administrative Actions for Improperly Paid, False, or Fraudulent Claims for MO HealthNet Services 13 CSR 70-3.035Violations Attested to by the Department of Health and Senior Services 13 CSR 70-3.040Duty of Medicaid Participating Hospitals and Other Vendors to Assist in Recovering Third-Party Payments (Rescinded November 30, 2018)13 CSR 70-3.050Obtaining Information From Providers of Medical Services (Rescinded February 28, 2022)13 CSR 70-3.060Medicaid Program Payment of Claims for Medicare Part B Services (Rescinded August 11, 1988)13 CSR 70-3.100Filing of Claims, MO HealthNet Program 13 CSR 70-3.105Timely Payment of MO HealthNet Claims 13 CSR 70-3.110Second Opinion Requirement Before Nonemergency Elective Surgical Operations (Rescinded June 30, 2011)13 CSR 70-3.120Limitations on Payment of Out-of-State Nonemergency Medical Services 13 CSR 70-3.130Computation of Provider Overpayment by Statistical Sampling (Rescinded April 30, 2019)13 CSR 70-3.140Direct Deposit of Provider Reimbursement 13 CSR 70-3.150Authorization To Receive Payment for Medicaid Services 13 CSR 70-3.160Electronic Submission of MO HealthNet Claims and Electronic Remittance Advices 13 CSR 70-3.170Medicaid Managed Care Organization Reimbursement Allowance (Rescinded November 30, 2021)13 CSR 70-3.180Medical Pre-Certification Process 13 CSR 70-3.190Telehealth Services (Rescinded January 30, 2019)13 CSR 70-3.200Ambulance Service Reimbursement Allowance 13 CSR 70-3.210Electronic Retention of Records 13 CSR 70-3.220Electronic Health Record Incentive Program 13 CSR 70-3.230Payment Policy for Provider Preventable Conditions 13 CSR 70-3.240MO HealthNet Primary Care Health Homes 13 CSR 70-3.250Payment Policy for Early Elective Delivery 13 CSR 70-3.260Payment Policy for Asthma Education and In-Home Environmental Assessments (Moved to 13 CSR 70-25.150)13 CSR 70-3.280Home and Community-Based Services Waiver Definitions 13 CSR 70-3.290Home and Community-Based Services Waiver Setting Requirements 13 CSR 70-3.300Complementary Health and Alternative Therapies for Chronic Pain Management 13 CSR 70-3.310Chiropractic Services 13 CSR 70-3.320Electronic Visit Verification (EVV)13 CSR 70-3.330Telemedicine Services