09/12/14
Informational Notice
To: Participating Medical Assistance Providers
Re: Timely Filing Claim Submittal for Non-Institutional Providers
The purpose of this notice is to remind providers of the timely filing requirements for Non-Institutional claims.
To be eligible for Medicaid reimbursement, providers and suppliers must file claims within a qualifying time limit. A Medicaid primary claim received on or after July 1, 2012 will be considered for payment only if it is received by the department no later than 180 days from the date on which services or items are provided. Rebilled claims, as well as initial claims, received more than 180 days from the date of service will not be paid.
The department has created documents to assist providers with the department’s timely filing override policy and may be found on the Non-Institutional Providers (NIP) Resources webpage.
• Timely Filing Claim submittal for Non-Institutional Providers (pdf)
• Timely Filing Override Questions and Answers (pdf)
• HFS 1624, Override Request Form (pdf)
Questions regarding this notice may be directed to the Bureau of Professional and Ancillary Services at 1-877-782-5565.
Theresa A. Eagleson, Administrator
Division of Medical Programs
