Department Of Social Services — MO HealthNet Division Proposed Rule

mo-2026-07-01-13-csr-70-3-230-proposed-amendment: 13 CSR 70-3.230 (Proposed Amendment) — Payment Policy for Provider Preventable

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Summary

This amendment updates the list of Medicare Hospital Acquired Conditions, which are incorporated by reference in section (2). (2) Payment to hospitals enrolled as MO HealthNet providers for care related only to the treatment of the consequences of a HCAC will be denied or recovered by the MO HealthNet July 1, 2026 r ules Vol. 51, No. 13 Division when the HCAC is determined to have occurred during an inpatient hospital stay and would otherwise result in an increaseinpayment.HCACconditionsareidentifiedinthelistof Medicare Hospital Acquired Conditions, which is incorporated by reference and made part of this rule as published by the Centers for Medicare & Medicaid Services (CMS), 7500 Security Boulevard, Baltimore, MD 21244, [November 13, 2024]August 1, 2025. This rule does not incorporate any subsequent amendments or additions.

The agency’s own summary, as published.

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