According to the CDC guidelines when a patient has both a primary private insurance such as United Healthcare, and Medicaid as secondary then the provider must offer the family a choice of what is the most cost effective for them. 

To handle this the EHR will no longer default the Pvt or Gvt radio button when a patient meets this criteria. Users will now see a message on the Schedule, Inventory or Details screen 'unable to default flag given secondary insurance'.