MedicaidAdministrativeHigh impact
MSA 16-37
Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Jan 1, 2017
We identified it
Jun 20, 2026
Summary
Michigan Medicaid is implementing a 12-month timely filing limit for all claims effective January 1, 2017. Claims must be submitted within one calendar year of the date of service or they will be denied, with limited exceptions for administrative errors, retroactive eligibility, court orders, Medicare delays, overpayment returns, and primary insurance takebacks.
Action Required
By December 31, 2017: Billing team must submit all claims for services provided before January 1, 2017. Starting January 1, 2017: Update billing workflows to ensure all Michigan Medicaid claims are submitted within 12 months of date of service. For exceptions, contact local MDHHS office to complete MSA-1038 form for administrative errors or retroactive eligibility, or submit claims through CHAMPS with appropriate documentation for other exceptions within 120 days of Medicare/primary insurance remit dates. Claims exceeding the one-year limit will be automatically denied.