I was wondering if anyone had any information with regards to billing medicaid as secondary to a medicare replacement. I am getting claims kicked back from medicare replacement plan stating that medicare coverage is present. In the Florida Medicaid hand book and i am sure every state is says that "Medicaid will not reimeburse as a secondary to a Medicare replacement or HMO plan. Which is fine it is clearly written there as a policy but what i do not get is that i was told by a Medicaid Rep that it is against the law to bill the patient. They state that is because of something in the Balance Budget act of 1997. Does anyone have any experience with this. I have researched the Balance budget act but that is nearly impossible to understand. I guess it could fall under the policy that you can not bill a patient for a non covered medicaid service but i am confused can anyone help.