MedicaidAdministrativeMedium impact
Submissions for Participants Identified as John or Jane Doe
Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Mar 17, 2026
We identified it
Jun 20, 2026
Summary
MO HealthNet Managed Care requires providers to contact the health plan as soon as possible when treating John/Jane Doe patients or those who didn't initially disclose MO HealthNet coverage. Authorization requests must include specific documentation explaining the delay and attempts to obtain patient information.
Action Required
Immediately: Front desk and billing staff must establish protocol to contact MO HealthNet Managed Care plans as soon as patient identity/insurance is discovered for John/Jane Doe cases. Create authorization request template that includes: explanation of delayed submission, documentation of ID attempts, prior authorization denials from other payers, and health plan contact attempts. Use Provider Information page for plan contact details or call (833) 222-7916.