Direct Deposit of Provider Reimbursement

PURPOSE: This rule requires the direct deposit of MO HealthNet provider payments and describes the procedure by which those payments will be made. PUBLISHER’S NOTE: The secretary of state has determined that the publication of the entire text of the material which is incorporated by reference as a portion of this rule would be unduly cumbersome or expensive. This material as incorporated by reference in this rule shall be maintained by the agency at its headquarters and shall be made available to the public for inspection and copying at no more than the actual cost of reproduction. This note applies only to the reference material. The entire text of the rule is printed here. (1) Enrolled providers must have their MO HealthNet payments automatically deposited into an authorized bank account. (2) Unless otherwise agreed upon by the Department of Social Services, MO HealthNet providers must complete the Electronic Funds Transfer (EFT) Authorization Agreement, which is incorporated by reference and made a part of this rule as published by the Missouri Medicaid Audit and Compliance Unit (MMAC), 205 Jefferson Street, 2nd Floor, Jefferson City, MO 65101, and available on the MMAC website at https:// mmac.mo.gov/providers/provider-enrollment/new-providers/ provider-enrollment-forms/, August 27, 2021. This rule does not incorporate any subsequent amendments or additions. (A) The completed application authorizes the Office of Administration to deposit MO HealthNet payments into an authorized checking or savings account. (B) A provider’s account may only be debited when an error has occurred resulting in an erroneous payment to the provider. (C) Direct deposit will begin following: 1. Submission of a properly completed application form to the Department of Social Services, MO HealthNet Division; 2. Successful processing of a test transaction through the banking system; and 3. Authorization to make payment using the direct deposit option by the MO Health-Net Division. (D) The state will conduct direct deposit through the automated clearing house system, utilizing an originating depository financial institution. The rules of the National Automated Clearing House Association and its member local Automated Clearing House Associations shall apply, as limited or modified by law. (3) All direct deposit applications must be signed by the person enrolled in the MO HealthNet program when that provider is an individual. Applications on behalf of groups or businesses (except those described in this rule) must be signed by an owner or managing employee of the entity. Signature stamps or other facsimiles will not be accepted. (4) MMAC may terminate or suspend the direct deposit option for administrative or legal actions, including, but not limited to, ownership change, duly executed liens or levies, legal judgments, notice of bankruptcy, administrative sanctions for the purpose of ensuring program compliance, death of a provider, and closure or abandonment of an account. AUTHORITY: sections 208.201 and 660.017, RSMo 2016.* Original rule filed Oct. 4, 1993, effective June 6, 1994. Amended: Filed June 1, 2010, effective Dec. 30, 2010. Amended: Filed Aug. 27, 2021, effective March 30, 2022. *Original authority: 208.201, RSMo 1987, amended 2007, and 660.017, RSMo 1993, amended 1995.