Date
When a participant has both Medicare and MO HealthNet coverage, a claim must be filed with Medicare first. However, MO HealthNet enrolls the following practitioners that Medicare does not cover:
- licensed or provisional licensed professional counselors
- licensed or provisional licensed marital and family therapists
- provisional licensed psychologists
- licensed master social workers
Therefore, claims for services rendered by one of the above practitioners to participants who are dual eligible (Medicare and MO HealthNet) are not required to be filed with Medicare prior to submission to MO HealthNet or to the participant’s MO HealthNet Managed Care Plan.
Impacted claims with dates of services beginning July 1, 2018 have been recycled.