States
Medical billing services by state
Billing rules change at the state line: the Medicaid program and its portal, which managed care plans hold the members, the fee-for-service filing deadline, the prompt-pay statute, who runs NEMT and which EVV system home care agencies report into.
Each state page sets those out with a source on every fact. Remitwright serves practices in every state remotely.
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Patient data stays in your systems. Your biller works inside your own software, clearinghouse and payer portals and never exports, downloads or stores claim files, remittances or patient lists on Remitwright devices or systems.
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By region
State pages by region
Grouped by the four US Census Bureau regions. Each row names the state's Medicaid program and, where the state page states it in one line, its filing limit for original claims, which is the fee-for-service limit unless the row names another. The state page carries the official source beside every fact.
Northeast
9 states
| State | Medicaid program | Filing limit | Open the state page |
|---|---|---|---|
| Connecticut | HUSKY Health (Connecticut Medicaid and CHIP) | 12 months after the date of service | |
| Maine | MaineCare | 1 year from the date of service | |
| Massachusetts | MassHealth | 90 days from the date of service | |
| New Hampshire | New Hampshire Medicaid (Medicaid Care Management) | Medicaid managed care timely filing (NH Healthy Families)120 days from the date of service | |
| New Jersey | NJ FamilyCare (New Jersey Medicaid) | One year from the date of service | |
| New York | New York State Medicaid | 90 days from the date of service | |
| Pennsylvania | Medical Assistance (MA) | 180 days from the date of service | |
| Rhode Island | Rhode Island Medicaid (RIte Care and Rhody Health Partners) | Medicaid managed care timely filing (Neighborhood Health Plan of Rhode Island)180 days from the date of service | |
| Vermont | Vermont Medicaid (Green Mountain Care) | Medicaid claim filing limit (every member, through Gainwell)180 days from the begin date of service |
Midwest
12 states
| State | Medicaid program | Filing limit | Open the state page |
|---|---|---|---|
| Illinois | Illinois Medicaid | 180 days from the date of service | |
| Indiana | Indiana Health Coverage Programs (IHCP) | 180 calendar days from the date of service | |
| Iowa | Iowa Medicaid | 365 days from the date of service | |
| Kansas | KanCare | 12 months after the service was rendered | |
| Michigan | Michigan Medicaid | 12 months from the date of service | |
| Minnesota | Minnesota Health Care Programs (Medical Assistance) | 12 months after the date of service | |
| Missouri | MO HealthNet | Medicaid filing limit (federal ceiling for fee-for-service claims)No later than 12 months from the date of service | |
| Nebraska | Heritage Health | Heritage Health (managed care) claim filing limit180 calendar days from the date of service | |
| North Dakota | North Dakota Medicaid | Medicaid Expansion (BCBSND) claim filing limit180 calendar days from the date of service | |
| Ohio | Ohio Medicaid | 365 days from the date of service | |
| South Dakota | South Dakota Medicaid | 6 months following the month the services were provided | |
| Wisconsin | Wisconsin Medicaid and BadgerCare Plus (ForwardHealth) | Medicaid timely filing (CLTS waiver claims, per DHS)365 calendar days from the date of service |
South
16 states and DC
| State | Medicaid program | Filing limit | Open the state page |
|---|---|---|---|
| Alabama | Alabama Medicaid | One year from the date of service | |
| Arkansas | Arkansas Medicaid | Medicaid timely filing (federal outer limit)No later than 12 months from the date of service | |
| Delaware | Delaware Medical Assistance Program (Diamond State Health Plan) | Medicaid managed care timely filing (Delaware First Health)120 calendar days from the date of service | |
| District of Columbia | DC Medicaid | 365 days from the date of service | |
| Florida | Florida Medicaid | No later than 12 months from the date of service | |
| Georgia | Georgia Medicaid (with PeachCare for Kids as the CHIP program) | Medicaid timely filing (Georgia Families CMOs)Six months from the date of service | |
| Kentucky | Kentucky Medicaid | Medicaid timely filing (stated in the MCO manuals)12 months from the date of service | |
| Louisiana | Louisiana Medicaid (Healthy Louisiana) | 12 months from the date of service | |
| Maryland | Maryland Medical Assistance (Medicaid) | 12 months from the date of service | |
| Mississippi | Mississippi Medicaid | 365 calendar days from the date of service | |
| North Carolina | NC Medicaid | 365 days from the first date of service | |
| Oklahoma | SoonerCare | 6 months from the date of service | |
| South Carolina | Healthy Connections Medicaid | Medicaid initial claim limit (federal rule SCDHHS works within)Initial claims no later than 12 months from the date of service | |
| Tennessee | TennCare | TennCare managed care timely filing (every MCO, under the TennCare contract)120 calendar days from the date of service | |
| Texas | Texas Medicaid | 95 days from each date of service | |
| Virginia | Virginia Medicaid (Cardinal Care) | 12 months from the date of service | |
| West Virginia | West Virginia Medicaid | 12 months from the date of service |
West
12 states
Also serving practices remotely in Alaska.
| State | Medicaid program | Filing limit | Open the state page |
|---|---|---|---|
| Arizona | Arizona Medicaid (AHCCCS) | 6 months from the date of service | |
| California | Medi-Cal | Six months following the month of service | |
| Colorado | Health First Colorado (Colorado's Medicaid program) | Medicaid timely filing (RMHP Prime and RAE claims)120 days from the date of service | |
| Hawaii | QUEST Integration (Med-QUEST) | QUEST Integration claim filing limit12 months from the date of service | |
| Idaho | Idaho Medicaid | Twelve months (365 days) from the date of service | |
| Montana | Montana Medicaid (Montana Healthcare Programs) | 12 months from the date of service | |
| Nevada | Nevada Medicaid | 180 days from the date of service | |
| New Mexico | Turquoise Care | Medicaid managed care (Turquoise Care) claim filing limitSet by each plan | |
| Oregon | Oregon Health Plan (OHP) | 365 days from the date of service | |
| Utah | Utah Medicaid | Medicaid managed care (ACO) claim filing limit12 months from the date of service | |
| Washington | Washington Apple Health (Medicaid) | 365 calendar days from the date of service | |
| Wyoming | Wyoming Medicaid | 12 months (365 days) from the date of service |
Regions follow the Census Regions and Divisions of the United States published by the U.S. Census Bureau. Filing limits are quoted from each state page and are the fee-for-service limit unless the row names another, such as a managed care, waiver or federal limit. The state page sets the official source beside the full rule and its exceptions.
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