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MedicaidAdministrativeMedium impact

TPL Insurance Forms Portal

Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Aug 3, 2026
We identified it
Aug 4, 2026
Days to comply

Summary

Missouri Medicaid has launched a new online TPL (Third-Party Liability) Portal effective August 3, 2026, for submitting TPL-1 and TPL-4 forms. Providers must transition from previous submission methods to use this secure portal for reporting new TPL information and updating existing records for MO HealthNet participants. This streamlines TPL documentation and supports accurate claims processing.

Action Required

Action needed
By August 3, 2026: Billing and administrative staff must register for and begin using the Missouri Medicaid TPL Portal (https://mydss.mo.gov/mhd/hot-tips/tpl-insurance-forms-portal) for all TPL-1 (Insurance Information Request) and TPL-4 (Insurance Information Update) form submissions. Update internal workflows and staff training materials to direct all future TPL submissions through the portal instead of previous methods. Ensure all providers submitting TPL information are familiar with the portal interface. Contact the MO HealthNet TPL Unit (573-751-2005 or TPL.Database@dss.mo.gov) if technical assistance is needed. Failure to submit TPL information through the portal may delay record updates and affect accurate claims processing for MO HealthNet participants.