MedicaidAdministrativeLow impact
MSA 21-36
Michigan Medicaid - MDHHS·MI · Geriatrics·Provider Bulletin
Effective date
Nov 1, 2021
We identified it
Jun 20, 2026
Summary
This policy establishes a new process for determining unmet need when prospective PACE entities want to serve areas already covered by existing PACE organizations in Michigan. It defines methodology using 11.25% market penetration rate and quarterly data analysis, with specific timelines for existing providers to respond with expansion plans.
Action Required
No immediate action required for most billing teams. This policy only affects organizations involved with PACE (Program of All-Inclusive Care for the Elderly) services in Michigan who are considering expansion or facing competition in their service areas.