MedicaidAdministrativeMedium impact
MMP 23-09: COVID-19 Response: Update to MSA 20-76 COVID Relief Facilities, Tier II 85% Occupancy Limitation
Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Mar 1, 2023
We identified it
Jun 20, 2026
Summary
Effective March 1, 2023, Tier II COVID Relief (CR) Facilities are no longer exempt from the 85% occupancy limitation that was previously waived under MSA 20-76. This policy change reinstates the standard occupancy requirements for these Medicaid nursing facilities while maintaining exemptions for Care and Recovery Centers (CRCs).
Action Required
By March 1, 2023: Billing teams serving Tier II COVID Relief Facilities must ensure occupancy calculations comply with the reinstated 85% occupancy limitation for Medicaid reimbursement. Verify that facility census reporting reflects compliance with standard occupancy requirements. Care and Recovery Centers (CRCs) remain exempt from this limitation.