Traditional MedicareAdministrativeMedium impact
COVID-19: Claims for MO HealthNet Participants with Medicare or Commercial Insurance
Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Apr 7, 2020
We identified it
Jun 20, 2026
Summary
MO HealthNet clarified that providers must continue following normal billing order for COVID-19 claims when participants have primary insurance like Medicare or commercial plans. Submit claims to primary payer first, then to MO HealthNet as secondary, despite recent telehealth flexibilities that may create policy differences between payers.
Action Required
Immediately: Billing team must ensure all COVID-19 related claims for MO HealthNet participants with Medicare or commercial primary insurance are submitted to the primary payer first before billing MO HealthNet. Do not change existing billing order workflows despite telehealth policy differences between payers.