Initial claims
12 months
the federal floor: “The Medicaid agency must require providers to submit all claims no later than 12 months from the date of service” (42 CFR § 447.45(d)(1)) — with exceptions at (d)(4) for retrospective-payment adjustments, Medicare crossover claims (6 months after the Medicare disposition), claims from providers under investigation, and court- or hearing-ordered claims
Published openly