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Medical Billing Services by State

Medical billing is federal on paper and state-by-state in practice. Every state runs its own Medicaid program with its own filing window — from Texas's 95 days to Ohio's full year — its own prompt-pay statute, its own Blue Cross plan, and its own enrollment portal. Our state guides cover the rules that actually decide whether your claims get paid, and we bill for practices in all 50 states from our Philadelphia base.

State billing guides

Texas
95 days — Texas Medicaid timely filing from date of service — among the shortest in the US
View TX guide →
California
6 months — Medi-Cal billing limit — up to 12 months only with a delay reason code
View CA guide →
Florida
12 months — Florida Medicaid FFS filing window — but most members are in SMMC plans
View FL guide →
New York
90 days — New York Medicaid filing window through eMedNY — one of the shortest in the US
View NY guide →
Pennsylvania
180 days — PA Medical Assistance filing window from date of service
View PA guide →
Ohio
365 days — Ohio Medicaid FFS filing window from date of service
View OH guide →
Illinois
180 days — Illinois Medicaid (HFS) filing window from date of service
View IL guide →
Georgia
6 months — Georgia Medicaid filing window from date of service
View GA guide →
North Carolina
365 days — NC Medicaid FFS filing window — but Standard Plans set their own limits
View NC guide →
Michigan
12 months — Michigan Medicaid filing window from date of service
View MI guide →
New Jersey
180 days — NJ FamilyCare filing window — documented exceptions can extend to 12 months
View NJ guide →
Virginia
12 months — Virginia Medicaid (DMAS) filing window from date of service
View VA guide →
Washington
365 days — Apple Health (Medicaid) filing window from date of service
View WA guide →
Arizona
1982 — AHCCCS — the oldest statewide Medicaid managed care system in the US
View AZ guide →
Tennessee
1994 — TennCare — the first fully managed-care Medicaid program in the US
View TN guide →
Massachusetts
90 days — MassHealth filing window — among the shortest in the US. File fast.
View MA guide →
Indiana
180 days — IHCP (Indiana Medicaid) filing window from date of service
View IN guide →
Missouri
12 months — MO HealthNet filing window from date of service
View MO guide →
Maryland
All-payer — Maryland's HSCRC hospital model is unique in the nation
View MD guide →
Wisconsin
365 days — ForwardHealth (Wisconsin Medicaid) filing window from DOS
View WI guide →

More state guides on the way

We serve practices in every state today — detailed guides for these states are being published in weekly batches. Need one now? Ask us directly — we know the rules already, the page just isn't written yet.

Alabama Alaska Arkansas Colorado Connecticut Delaware Hawaii Idaho Iowa Kansas Kentucky Louisiana Maine Minnesota Mississippi Montana Nebraska Nevada New Hampshire New Mexico North Dakota Oklahoma Oregon Rhode Island South Carolina South Dakota Utah Vermont West Virginia Wyoming

Why state rules change your revenue

Three things vary state to state and each one costs real money when missed. Medicaid filing windows range from 90 days (New York) to 12 months (Ohio, Michigan, Florida) — a biller working multi-state claims to a single internal deadline is either leaving margin on the table or losing claims outright. Prompt-pay statutes give providers enforceable payment deadlines with interest — 18% annually in Texas and North Carolina — that most practices never invoice. And payer landscapes are genuinely local: the "Blue Cross" on the card is a different company with different rules in Philadelphia, Chicago and Detroit.

Our team bills to each state's actual rulebook — verified against the state Medicaid agency and insurance statutes, not a generic national cheat sheet. Start with our timely filing tool or get a free billing audit benchmarked to your state.

Billing in any state. One expert team.

Free audit of your denials, aging and payer mix — with state-specific findings, not generic benchmarks.

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