Molina Healthcare Corrected Claim Timely Filing 2026: Deadlines by State

Molina corrected claim deadlines by state

The corrected-claim window depends on which state Molina plan adjudicated the claim. Molina runs separate Medicaid plans under separate state contracts, and each plan's provider manual states its own rule in a "Corrected Claim process" section.

Sources checked September 29, 2026, all published by Molina Healthcare: the New York Medicaid manual, Mississippi MSCAN and CHIP manual, New Mexico Medicaid manual, California Medi-Cal manual, Illinois Medicaid manual, Nebraska manual, Nevada Medicaid manual, Wisconsin Medicaid manual, Virginia Medicaid manual, Florida provider handbook, Kentucky manual, Ohio Medicaid manual, Michigan Medicaid manual, Iowa Medicaid manual, Washington Medicaid manual, Utah Medicaid manual, and Texas Medicaid/CHIP manual.

Molina also operates in states not listed here. If your state is missing, pull that plan's current manual from its Molina provider page rather than borrowing a neighbor's number.

Three different clocks, not one

Molina's manuals start the corrected-claim clock from one of three events. Identify which one your state uses before you do any date math, because the same calendar date can be on time in one state and late in the next.

Date of service. California, Illinois, Kentucky, Nebraska, Nevada, New Mexico, and Wisconsin count from the service or discharge date. On these plans, a claim that took four months to adjudicate has already used four months of the correction window before you ever see the remittance.

Remittance or adjudication date. Mississippi counts from the date on the Remittance Advice; New York and Ohio count from the most recent adjudicated date. Ohio's manual also states the rule as 365 days "from the date of the remit of the Claim number that is being corrected." Keep the 835 or paper RA with the claim record, because it is the document that proves when the clock started.

Paid date. Virginia's manual says corrected claims must be sent within 180 calendar days "from the original claim paid date to be considered for reprocessing."

Four states combine clocks. Florida allows six months from the date of service or the most recent adjudicated date. Washington allows 24 months from the date of service or the most recent adjudicated remittance date. Iowa allows 365 days from the last adjudication date "for up to 2 years from the Date of Service." Michigan's manual reads: "Corrected Claims must be sent within 365 calendar days from the date of service or within ninety (90) days of the most recent adjudicated date of the Claim." The Michigan sentence does not say which alternative controls when they conflict, so calendar the earlier date unless Molina Michigan confirms otherwise in writing.

States that tie the correction to the original claim rule

Utah and Texas do not publish a separate corrected-claim window. Utah borrows the initial filing window; Texas processes the correction as a new claim.

Utah. The Utah manual says "the timeframe for Corrected Claims submission is the same as outlined for the initial submission of claims," measured from the original date of service and found in your Provider Service Agreement. Non-participating providers have a stated rule: corrected claims within 90 days from the date of service (professional) or discharge (institutional).

Texas. The Texas Medicaid/CHIP manual says "Corrected Claims are considered new Claims for processing purposes," must be submitted electronically, and must carry the replacement or corrected-claim coding plus the original claim number. The same manual requires electronic claims within 95 days of the date of service. Treat that as the working limit for a Texas correction unless your agreement says otherwise, and note that Texas gives a separate 120 days from the original remittance advice to dispute an adjudicated claim through Molina's Provider Complaints and Appeals Request Form.

For the underlying original-claim limits by state, see the Molina Healthcare timely filing limits guide.

Medicare and Marketplace plans have their own windows

Molina's Medicare and Marketplace manuals set windows independently of the Medicaid plan in the same state. Check the manual for the product on the member's ID card.

Sources: Washington Medicare manual, Iowa Medicare D-SNP manual, Nevada Medicare manual, and California Marketplace manual, checked September 29, 2026.

The Medicare rows matter for dual-eligible patients. A Washington patient in both Molina Medicaid and a Molina D-SNP can have two corrections due on two different clocks: 24 months from the date of service or latest adjudication on the Medicaid side, 24 months from the original remittance on the Medicare side.

How to submit a Molina corrected claim

Submit a Molina correction as a replacement claim with frequency code 7 and the original Molina claim number. The manuals encourage corrected claims through EDI or the Availity Essentials portal rather than paper.

Electronic (837P or 837I). Molina's Texas manual spells out the standard fields: claim frequency type code 7 (replacement) or 8 (void) in Loop 2300 CLM05-3, and the original reference number (ICN/DCN) in Loop 2300 REF*F8. For institutional claims, the frequency code is transmitted in CLM05-3; on a paper UB-04 it is the third substantive digit of the type of bill. Take the original claim number from the remittance advice.

Paper CMS-1500. Put the resubmission code and the original claim number in field 22.

Paper UB-04. Put the frequency code in field 4 (bill type) and the original claim number in field 64.

Paper rules. Molina's manuals require paper corrected claims to be free of handwritten or stamped verbiage and submitted on standard red-and-white forms.

Coding errors bounce. The Texas and Ohio manuals both say claims submitted without the correct corrected-claim coding "will be returned to the Provider." A returned correction does not stop the clock, so check the rejection report the same day.

Copyable Molina corrected-claim deadline worksheet

Use this worksheet inside your billing system or approved claim notes. Do not paste patient identifiers into a public tool.

Molina Healthcare corrected-claim check

Molina state plan:
Product (Medicaid / CHIP / Medicare-D-SNP / Marketplace):
Participating or non-participating:
Original Molina claim number (from RA/835):
Date of service / discharge:
Original remittance advice date:
Original paid date (if paid):
Most recent adjudication date:

State manual checked (title + "last updated" date):
Manual's corrected-claim rule, quoted:
Clock starts from (DOS / RA date / paid date / most recent adjudication):
Provider agreement section checked (Y/N, section #):
Calculated deadline (use the earlier date if the rule has two clocks):

Frequency code 7 in CLM05-3 (or bill type 3rd digit) (Y/N):
Original claim number in REF*F8 / box 22 / FL 64 (Y/N):
Submitted via (Availity / clearinghouse / paper):
277CA or portal confirmation saved (Y/N, date):
Follow-up date and owner:

If Molina denies the corrected claim as late

Treat a timely-filing denial on a correction as a proof problem first. Pull the system-generated acceptance for both the original claim and the correction, plus the remittance that started your state's clock.

Molina's Utah manual describes two responses to an electronic submission: a 999 acknowledgment of the transmission and a 277CA response for each claim. The 277CA and the Availity submission confirmation are the records to keep. The Utah manual notes Molina will consider paying a claim denied for timely filing if you can document it was submitted within the requirements or demonstrate good cause, which Molina decides.

Then file through the dispute or appeal route your state plan lists. For the full path, including state fair hearings for Medicaid, see the Molina Healthcare appeal guide and the Medicaid fair hearing guide.

How Molina compares with other payers

Molina's variation is state-by-state; most commercial payers vary by contract or region instead. A corrected-claim habit built on one payer does not transfer.

Kaiser Permanente keys most corrections to the original remittance by region; see the Kaiser Permanente corrected claim guide. The multi-payer corrected claim timely filing guide compares the major commercial payers side by side.

Frequently Asked Questions

What is Molina Healthcare's corrected claim timely filing limit?

It depends on the state plan. Current Molina Medicaid manuals set 60 days from the most recent adjudication in New York, 90 days from the remittance advice in Mississippi, 90 days from the date of service in New Mexico, 180 days from the date of service in California, Illinois, Nebraska, and Wisconsin (and contracted Nevada providers; non-contracted Nevada providers have 365 days), 180 days from the paid date in Virginia, 365 days in Kentucky and Ohio, and 24 months in Washington. Your provider agreement can set a different window.

Does Molina have a 90-day corrected claim rule?

Only in some states. Mississippi's manual uses 90 calendar days from the remittance advice date and New Mexico's uses 90 days from the date of service. Most other Molina state plans allow longer, and New York allows only 60 days from the most recent adjudication.

When does the Molina corrected claim clock start?

It varies. California, Illinois, Kentucky, Nebraska, Nevada, New Mexico, and Wisconsin count from the date of service. Mississippi counts from the remittance advice date, New York and Ohio from the most recent adjudication, and Virginia from the original paid date. Florida, Iowa, Michigan, and Washington combine two clocks.

What frequency code does Molina use for a corrected claim?

Use frequency code 7 (replacement of prior claim) with the original Molina claim number: Loop 2300 CLM05-3 and REF*F8 electronically, field 22 on a CMS-1500, or field 4 and field 64 on a UB-04. Code 8 voids the prior claim. Molina's manuals say claims without the correct corrected-claim coding are returned to the provider.

What is the Molina Texas corrected claim deadline?

The Molina Texas Medicaid/CHIP manual does not list a separate corrected-claim window. It says corrected claims "are considered new Claims for processing purposes," and it requires electronic claims within 95 days of the date of service. Disputes of an adjudicated claim are due within 120 days of the original remittance advice.

Do Molina Medicare plans use the same window as Molina Medicaid?

No. Molina's Medicare manuals set their own windows. The 2026 Washington D-SNP manual allows 24 months from the original remittance advice date, and the Nevada Medicare manual allows 365 days from the most recent adjudicated date. Check the manual for the product on the member's ID card.

Next step when a correction is not enough

A corrected claim fixes billing data. When the claim was right and Molina's decision is the problem, you need an appeal with the denial reason, the governing state or plan rule, and the supporting records organized before you write. Muni Appeals helps prepare that appeal letter from the denial materials your team uploads. Your billing staff still verifies the Molina state plan, the deadline, and the filing channel.

Administrative education, not legal advice or a coverage or reimbursement determination. Deadlines above are quoted from Molina Healthcare's published state provider manuals as checked on September 29, 2026. Your Molina provider agreement, state Medicaid rules, and later manual updates can set different requirements. Muni Health is not affiliated with Molina Healthcare.