Published filing window · Last verified 2026-08-30

Molina (KY Medicaid) timely filing limit for dental claims

Molina (KY Medicaid) publishes an initial dental filing window of 365 days. Corrected-claim and appeal windows, the exact wording, and sources are below.

Passport by Molina Healthcare (Kentucky Medicaid)

Initial claims

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

Published openly

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

Published openly

Records requests

60 days

to respond to a post-pay record request, counted from the date of the recovery request

Published openly

Recoupment

60 days

not a look-back cap — when a recoupment lands after the original 365-day filing limit, “the corrected claim must be submitted within 60 days from the date of recoupment”; an overpayment notification is promised in advance of any recoupment

Published openly

Appeal windows

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

Find the timely-filing deadline

Date of service plus the payer's filing window, in calendar days. Estimate only — the payer's contract wording controls.

Enter a date of service to compute the deadline.

How we calculate this

Deadline = date of service + the filing window in calendar days; days left counts from your device's date today. This tool counts calendar days. Payer contracts may count differently — some windows run in months, from the end of the month of service, or from the date the payer received the claim — so treat the result as a planning estimate and confirm the payer's own contract wording. Windows outside 30730 days are clamped, and a date of service more than a year ahead is rejected as a likely typo. Payer windows in the list carry the payer's published figure; the cited source appears on that payer's page.

Nothing you type here leaves your browser — the results are computed locally on this page.

Verified caveats

  • Kentucky Medicaid only (Passport by Molina Healthcare, Payment Policy 52, current revision effective 2/23/2026). Do not generalize these windows to other Molina plans or other payers.
  • The policy accepts a recoupment letter from another payer as proof of timely filing.
  • State and federal law and the provider contract supersede the payment policy.

Sources

Last verified 2026-08-30 (research confidence: high). Dentovio is an independent publisher — not a payer, the American Dental Association, or any government agency, and it is unaffiliated with the insurers named here. This page was drafted with AI assistance and verified against the primary sources linked here. It has not been reviewed by a credentialed dental billing specialist or attorney. These pages record filing, correction, appeal, records, and recoupment windows as read in each payer's published documents on the last-verified date — and record honestly where no public number exists. Provider contracts override published manuals, editions change, and several payers set different rules per state, network, or program. Educational reference only, not billing or legal advice; confirm the controlling number in your participation contract and the payer's current provider manual before relying on it. How this data is verified