MedicaidAdministrativeMedium impact
MMP 22-48
Michigan Medicaid - MDHHS·MI · Geriatrics·Provider Bulletin
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Michigan Medicaid is reinstating policy language allowing Long Term Care Medicaid recipients to offset their Patient-Pay Amount using pre-eligibility medical expenses incurred in the 3 months prior to LTC Medicaid approval. Providers must ensure payments are received directly and requests must be made within one year of eligibility establishment.
Action Required
By January 1, 2023: Billing teams serving Long Term Care Medicaid patients must update workflows to identify patients eligible for Pre-Eligibility Medical Expense (PEME) offsets. Train staff to verify that PEME requests are submitted within one year of LTC Medicaid eligibility and that expenses were incurred in the 3 months prior to initial LTC Medicaid approval. Ensure payment tracking shows funds were received directly from patients for medical expenses. Failure to comply will result in termination of offsets.