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MedicaidReimbursementMedium impact

MMP 23-70: Change in Interim Settlement for Nursing Facilities

Michigan Medicaid - MDHHS·MI · Geriatrics·Specialty Services
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Michigan Medicaid is increasing initial settlement payments for nursing facilities from 70-80% to 100% for fiscal years 2021, 2022, and 2023, effective January 1, 2024. This change only applies to underpayment situations where additional reimbursement is due to the nursing facility.

Action Required

Action needed
Before January 1, 2024: Nursing facility billing teams should review pending FY21, FY22, and FY23 initial settlement cases with Michigan Medicaid to ensure full 100% payment is received for any underpayment amounts. Contact DARS@michigan.gov with questions about specific settlement calculations.