Community HealthChoices is a Medical Assistance product and does not affect an individual’s Medicare. Medicare continues to be the primary payer and Medical Assistance is secondary. Providers in the individual’s Medicare network should continue seeing them and bill Medicare as primary for reimbursement. If you are registered with DHS as a Medical Assistance provider and have a PROMISe™ ID, you are able to submit secondary Medical Assistance claims to the individual’s CHC-MCO, even if you are not in the CHC-MCO’s network. If you are not a registered Medical Assistance provider, you cannot submit claims for secondary Medical Assistance payment.