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Medicaid

Verify the applicable plan and contract before relying on a deadline.

Payer type

Medicaid

Timely filing

Set by each state, never longer than 12 months from the date of service under federal rules. Many states use shorter limits.

Corrected claims

Varies by state. Check your state Medicaid provider manual.

Appeals

Varies by state. Medicaid managed care plans have their own appeal steps.

Medicaid is run by each state. Federal rules (42 CFR 447.45) require state Medicaid agencies to have providers submit claims within 12 months of the date of service, but the deadline that applies to you is the one in your state’s provider manual, which can be shorter.

If the patient is in a Medicaid managed care plan, that plan’s contract usually sets the filing limit.

Source and review

Official source ↗

Last checked: 2026-10-05

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