MedicaidCoverageMedium impact
MSA 18-25
Michigan Medicaid - MDHHS·MI · Geriatrics·Provider Bulletin
Effective date
Aug 30, 2018
We identified it
Jun 20, 2026
Summary
Michigan Medicaid updated the Nursing Facility Quality Measure Initiative (QMI) eligibility requirements, adding a new condition that providers must deliver at least one day of Medicaid nursing facility services during both the current state fiscal year and their prior year-end cost reporting period. The policy also clarifies the methodology for calculating Medicaid utilization rates from cost reports.
Action Required
Immediately: Nursing facilities must ensure they have at least one day of Medicaid nursing facility services documented at the room and board level during the state fiscal year to maintain QMI payment eligibility. Billing team should verify Medicaid utilization rates are properly calculated from cost reports covering at least seven months. Facilities not meeting the new service requirement will have QMI payments recouped by MDHHS.