This page is completed when the child has health insurance through a parent. Medical claims are sent through this insurance prior to billing Medicaid.
Click the Other Health Insurance hyperlink. The Third Party Liability – Other Health Insurance List page displays.
Click the Add button. The TPL – Other Health Insurance Detail page displays.
Select the child from the Beneficiary drop-down menu.
Select one of the following from the Health Coverage Type drop-down menu:
Other Health Coverage
Employer Family Health Coverage
Healthy Families Only
Enter the Start Date using the <mm/dd/yyyy> format or the calendar icon.
Complete known Health Insurance Information:
Health Insurance Company Name
Policy Number
Group Number
Type of Coverage
Type of Insurance
Name of Plan
Address, City, State and Zip Code
Complete known Policy Holder Information:
Policy Holder Name
Policy Holder Social Security
Select the child’s name from the Who is Covered drop-down menu (required field)
Complete other fields if information is available.
Complete Access to Health Insurance, if available.
Select Verified from the Verified drop-down menu.
Click the Save and Return button.
NOTE: KEES automatically transmits this information to MMIS.
Proceed to Eligibility Determination and Calculation - PPS.