Board updates timely-filing rule to 365 days for Medicaid claims

The Medical Services Board approved an emergency change and final adoption to the timely-filing rule (section 8.043), aligning rule text with current operations that allow providers 365 days to submit Medicaid claims.

Scott Lindblom, director of provider relations and fiscal agent operations, told the board the 365-day window is the maximum allowed under federal regulation and that providers already operate under that timeframe. "This update simply aligns rule language with what we already do in practice," Lindblom said.

Board members had no questions and no public testimony was registered for the item. The board approved document 9 for emergency adoption and document 1 for final adoption at the same meeting; staff said there is no fiscal impact.

Ending: The rule change takes effect as adopted; department will continue to operate under the 365-day claim-submission timeframe and indicated no provider harm was expected.