All MO HealthNet Providers

MO HealthNet Participants with Third Party Liability Coverage

MO HealthNet Participants with Third Party Liability Coverage

Before requesting prior authorization (PA) from the MO HealthNet Division (MHD) for any medication, please verify whether the participant has any other third-party liability (TPL). Providers must utilize all available third-party benefits, including exploring therapeutic alternatives, pursuing prior authorization through the third-party payer, and utilizing a preferred pharmacy before MHD will consider reviewing PAs for participants with TPL.