MedicaidAdministrativeLow impact
MSA 19-36
Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Summary
Michigan will restrict Medicaid eligibility for up to one year for beneficiaries convicted of fraud-related crimes under the Medicaid program. This addresses beneficiary fraud and aligns with federal law under Section 1128B of the Social Security Act.
Action Required
No immediate action required for billing team. This policy affects beneficiary eligibility status, which will be managed by MDHHS. Continue normal billing processes and verify eligibility as usual through standard channels.