MedicaidCoverageLow impact
MSA 18-15
Michigan Medicaid - MDHHS·MI · Geriatrics·Provider Bulletin
Effective date
Jul 1, 2018
We identified it
Jun 20, 2026
Summary
Michigan Medicaid updated PACE program deeming requirements, allowing participants who no longer meet nursing facility level of care to remain eligible for up to one year if they've received services for 6+ months and are expected to need nursing facility care within 6 months. Annual reassessments are required after one year.
Action Required
No immediate action required for billing teams unless your practice serves PACE participants in Michigan. If applicable, update patient eligibility verification processes to account for deemed PACE participants who may appear to not meet nursing facility level of care but remain eligible under deeming criteria.