MEDICAL RECORD FEES

  • To: CHILDREN’S DIVISION AND CONTRACTED STAFF
  • From: DAVID WOOD, DIRECTOR

The purpose of this memorandum is to inform staff of a change in the maximum reimbursement rates for medical records.

The maximum reimbursement rates for paying providers for medical records were changed effective February 1, 2020. The new amounts are:

  • A copying fee of $26.06 and $0.60 cents per page for the cost of supplies and labor for copies in paper form
  • An additional fee of $24.40 if records are maintained off-site
  • Copies provided electronically (e.g. disc, fax, email) have a maximum copying fee of $114.17 total, whichever is less
  • Postage to include packaging and delivery cost

Section 191.227 of the Revised Statutes of Missouri sets a base rate for the maximum costs of copying records. The law requires the Missouri Department of Health and Senior Services (DHSS) to determine the amounts each year. The new rate information is available on their website at:

http://health.mo.gov/atoz/fees.php

When Children’s Division staff request and receive medical records from providers, all invoices for payment for those records must be submitted via Payment Request. Specific instructions for completing the Payment Request are provided in the FACES Financial System Payment Handbook.

https://dssintranet.mo.gov/dfas/wp- content/uploads/sites/26/2020/07/FACESQuickReferenceforPayments.pdf

Effective immediately, provider charges shall not exceed these maximums for services provided on or after February 1, 2020.

NECESSARY ACTION

  1. Review this memorandum with all Children’s Division staff.
  2. Review revised Child Welfare Manual chapters as indicated below.
  3. All questions should be cleared through normal supervisory channels and directed to:

PDS CONTACT

Cari Pointer 

Cari.A.Pointer@dss.mo.gov

MANAGER CONTACT

Kara Wilcox

Kara.B.Wilcox-Bauer@dss.mo.gov

CHILD WELFARE MANUAL REVISIONS

Section 8, Chapter 7.2.12 Paying for Medical Records https://dssmanuals.mo.gov/child-welfare-manual/section-8-chapter-7-contracted- services-subsection-2-childrens-treatment-services-cts/

FORMS AND INSTRUCTIONS

NA

REFERENCE DOCUMENTS AND RESOURCES

NA

RELATED STATUTE

Section 191.227 RSMo.