TPL Insurance Forms Portal

Date

TPL Insurance Forms Portal

The Missouri Medicaid Third-Party Liability (TPL) Unit has launched a new online portal for submitting TPL-1 (Insurance Information Request) and TPL-4 (Insurance Information Update) forms effective August 3rd, 2026.
Providers may use the portal to:

  • Report new third-party liability (TPL) information for MO HealthNet participants.
  • Submit updates or corrections to existing TPL information.
  • Upload supporting documentation, if applicable.

The online portal provides a secure and efficient way to submit TPL information and helps ensure participant records remain current, supporting accurate claims processing.
Providers are encouraged to use the TPL Portal for future TPL-1 and TPL-4 submissions.
TPL Portal: Third Party Liability Update  
Questions?
If you have questions about the TPL Portal or submitting TPL information, please contact the MO HealthNet TPL Unit:
Phone: 573-751-2005
Email: TPL.Database@dss.mo.gov