MedicaidCoverageMedium impact
MMP 23-32: Financial Eligibility for PACE Program
Michigan Medicaid - MDHHS·MI · Geriatrics, General Practice·Enrollment
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Summary
Effective July 1, 2023, Michigan's PACE program will apply Medicaid divestment policy to new applicants and existing participants, meaning Medicaid will not pay for long-term care services during penalty periods when resources are transferred for less than fair market value. This implements a previously delayed policy due to the end of the Public Health Emergency.
Action Required
By July 1, 2023: Billing teams serving PACE participants in Michigan must verify eligibility more thoroughly before billing Medicaid for long-term care services, home and community-based services, home help, or home health services. Update eligibility verification procedures to check for active divestment penalty periods. Claims for these services will be denied during penalty periods.