Molina Kentucky Medicaid timely filing limit

Sourced answer

The initial dental filing window for Passport by Molina Healthcare (Kentucky Medicaid) is 365 days — from the date of service for CMS-1500 claims; the clock runs from discharge/date of service for UB-04, the primary payer's EOB for COB claims, eligibility posting for retroactive eligibility, and the denial date for resubmissions (Payment Policy 52, effective 2/23/2026) — “unless otherwise specified in a provider's contract,” and on conflict the contract language prevails. Corrected claims: 365 days — the normal filing limit applies to corrected claims submitted inside it; a recoupment landing after the limit opens the special 60-day window shown under recoupment. Appeal / dispute (claim denial or reimbursement): 60 days from the date of Molina's adverse determination (calendar days) — a different clock from the 60-day recoupment corrected-claim window below. Provider contracts and plan documents override published manuals — the contract number controls. Last verified 2026-08-30.