MedicaidAdministrativeLow impact
MSA 17-20
Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Jan 31, 2018
We identified it
Jun 20, 2026
Summary
Michigan Medicaid updated the dollar thresholds for when nursing facilities must file related party home office cost reports, increasing the amounts from $10,000/$50,000 to $25,000/$125,000. The policy also removes the option to exclude related party expenses instead of filing cost reports and creates a new exception process for directly allocated expenses.
Action Required
For nursing facilities with related party business transactions in Michigan: Review current related party expense allocations to determine if home office cost reports are still required under the new $25,000 (single facility) or $125,000 (multiple facilities) thresholds. Ensure all related party expenses remain on individual facility cost reports regardless of whether home office reporting is required. Contact Michigan RARSS if seeking exceptions for directly allocated expenses before the home office cost report due date.