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MedicaidCoverageMedium impact

MMP 25-33: Flint Water Group Eligibility Criteria Update

Michigan Medicaid - MDHHS·MI·Enrollment
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

The Flint Water Group Medicaid eligibility criteria has been updated to include only individuals who were served by the Flint water system between April 1, 2014, and September 30, 2025, following the EPA's lift of the emergency order. This affects eligibility verification for Medicaid members claiming Flint Water Group status.

Action Required

Action needed
By October 1, 2025: Front desk and billing verification staff must update eligibility verification procedures to confirm Flint Water Group Medicaid members were served by the Flint water system between April 1, 2014, and September 30, 2025. Update intake forms to capture the specific time period and connection type (residence, employment, childcare/education). Verify eligibility through standard Medicaid channels before services are rendered to avoid claim denials.