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MedicaidAdministrativeMedium impact

MSA 19-35

Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Michigan's Healthy Michigan Plan (Medicaid expansion) is implementing new work requirements effective January 1, 2020, requiring beneficiaries aged 19-61 to complete 80 hours of work or qualifying activities monthly or face potential coverage loss. This policy also updates healthy behavior incentives, co-pays, and medically frail identification processes.

Action Required

Action needed
Before January 1, 2020: Billing team should verify Healthy Michigan Plan patient eligibility more frequently due to potential coverage disruptions from work requirement non-compliance. Update patient intake processes to identify patients who may be at risk of losing coverage. Monitor for increased eligibility changes and coverage gaps that could affect claim processing and collections.
MSA 19-35 | Michigan Medicaid - MDHHS | PolicyChanges.app