# Molina (KY Medicaid) timely filing limit for dental claims

> What is the timely filing limit for dental claims with Molina (KY Medicaid), and how long do you have to correct or appeal? Verdict: Published filing window.

URL: https://dentovio.com/dental-timely-filing-limits/molina-kentucky

Payer of record: Passport by Molina Healthcare (Kentucky Medicaid)

Last verified: 2026-08-30

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.

## Direct 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.

## Filing windows

- **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)

## Appeals

- **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

## 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

- [Passport by Molina Healthcare — Payment Policy 52, Timely Filing (KY Medicaid)](https://www.molinahealthcare.com/providers/ky/medicaid/policies/-/media/3D7A5421F3E8402885D9F280CB696DAD.ashx) — Policy Overview, p. 1 of 3

## Related

- [All payer timely-filing pages](https://dentovio.com/dental-timely-filing-limits/index.html.md)
- [Dental claim denial codes](https://dentovio.com/dental-claim-denial-codes/index.html.md)
- [Dental prompt-pay laws by state](https://dentovio.com/dental-prompt-pay-laws/index.html.md)