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MedicaidAdministrativeMedium impact

MSA 19-28

Michigan Medicaid - MDHHS·MI · Geriatrics·Provider Bulletin
Effective date
Nov 1, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Michigan Medicaid has revised nursing facility cost reporting and audit procedures to comply with PA 612 of 2018, establishing strict timelines for cost report acceptance (60 days), audit completion (21 months), and final settlement (60 days). Changes include new definitions, reduced timeframes for corrected cost report submissions, and stricter requirements for low/no Medicaid utilization reporting.

Action Required

Action needed
By November 1, 2019: Billing teams at nursing facilities must update cost reporting procedures to submit electronic cost reports with required documentation including general ledger Excel files and submission checklists. Reduce corrected cost report resubmission window from 15 calendar days to 5 business days. Facilities with less than 6 Medicaid residents per day must file 'less than complete' cost reports only.