Hello Provider,
Beginning January 7, 2026, the Missouri Department of Social Services will begin the process of validating all claims for services requiring EVV against Aggregator Solution (EAS) data.
Submitted claims must match the following verified visit data elements in EAS:
- Department Client Number (DCN)
- Date(s) of Service
- Provider Medicaid ID
- Procedure Code/Modifier(s)
- Number of Units
During the soft launch period, claims not matching visits in EAS will not be denied, however, providers will be notified on their Remittance Advice (RA) via a Remittance Advice Remark Code. This will allow providers an opportunity to become familiar with the claims validation process in order to prepare for the application of hard edits which will deny payment of the claim.
EVV claims validation is designed to improve accuracy and reduce errors in billing. There will be no change in the way claims are submitted, but providers should put an emphasis on having accurate visit data before submitting the claim for payment.
Providers must capture all required visits in EVV and log into EAS weekly to ensure their EVV vendor is submitting visits to EAS daily.
Providers must pay close attention to upcoming communications as additional information will be distributed as it becomes available.
Sincerely,
The Sandata + HHAeXchange Team
