Committee backs resolution asking state to change Medicaid cost‑report method to ease county cash flow

Sep 14, 2026

The committee unanimously voted to recommend resolution 09-26.35, which asks the Michigan Department of Health and Human Services to amend Medicaid rate calculations so direct‑care and nonclinical staff wages for non‑Medicaid days flow through the cost report — a change county leaders say would raise Medicaid rates effective Oct. 1, 2026 and reduce a county cash‑flow lag.

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Cecilia explained that resolution 09-26.35 asks the Michigan Department of Health and Human Services to modify Medicaid cost‑report methodology so that wage enhancements for direct‑care and nonclinical staff tied to non‑Medicaid days are removed from the October 1, 2026 rate calculation and instead flow through the Medicaid cost report, which would increase Medicaid rates beginning Oct. 1, 2026. "Starting with the state's budget which is October 1st 2026," Cecilia said, describing the effective date tied to state rate setting.

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