COVID-19: COVID-19 Testing and Specimen Collection Reimbursement

During the COVID-19 public health emergency, effective with dates of service on or after March 1, 2020, the state plan allowed MO HealthNet to reimburse all providers 100% of the Medicare rate for COVID-19 testing and specimen collection codes.

The COVID-19 public health emergency will expire on May 11, 2023. Effective May 12, 2023, the state plan will require MO HealthNet to reimburse for COVID-19 testing and specimen collection codes performed in the outpatient setting 90% of the Medicare rate and independent laboratories 80% of the Medicare rate.

The COVID-19 public health emergency will expire on May 11, 2023. Effective May 12, 2023, MO HealthNet will require a referring physician for claims submitted by independent laboratories for all COVID-19 testing.

Source: https://dss.mo.gov/mhd/providers/pages/provtips.htm#032723c