Release Log

2026 Release Log
Release Number	Effective Date	Sections Affected	Notes	PDF of Manual
26.7	10.1.2026	Ineligible Non-Citizens 510-05-35-55; Qualified Non-Citizens 510-05-35-58; Lawful Permanent Residence 510-05-35-60 and 510-05-35-65; Emergency Services for Non-Citizens 510-05-35-70	Updates non-citizen Medicaid eligibility policy effective October 1, 2026.	October 1, 2026
26.6	8.13.2026	Excluded Assets 510-05-70-30	Repeal - Removes the nine-month exclusion for lump-sum Title II or SSI benefits.
26.5	7.1.2026	Income Deductions 510-05-85-35	Updates
26.4	5.1.2026	Hardship Provision 510-05-80-20	Updated to clarify when a Hardship exists and describe the term 'All lawful means'.
26.3	4.1.2026	Income Levels 510-05-85-40	Updating the ACA and Non-ACA Medicaid policy manual with the 2026 Federal Poverty Level (FPL) amounts.	April 1, 2026
26.2	2.12.2026	Cooperation - Child Support 510-05-40-15	Adding language to clarify the requirements for parent/caretaker relatives to cooperate with child support.
26.1	1.1.2026	Home Equity Limit 510-05-70-27 Asset Limits for the Medicare Premium Assistance Program 510-05-60-20 Exceptions to Disqualifying Transfer Provision 510-05-80-25 Asset Considerations 510-05-70-10 Community Spouse Asset Allowance 510-05-65-20 Disqualifying Transfers 510-05-80/Definitions 510-05-80-05	Updating policy to provide 2026 updates to: Home Equity Limits Asset Limits for the Medicare Premium Assistance Program. Community Spouse Asset Allowance. Additional changes include monies included in the calculation for DQT, inlcude 529 accounts as an available asset, average cost of nursing facility care.

2025

2025 Release Log
Release Number	Effective Date	Sections Affected	Notes	PDF of Manual
25.17	11.1.2025	Home and Community Based Services (HCBS) - 510-05-15-05 Application and Review 510-05-25-05 Emergency Services for Non-Citizens 510-05-35-70 Social Security Numbers 510-05-35-80 Individuals Covered and Benefits 510-05-60-10	Removing the sentence indicating a signature found anywhere on an application is acceptable. Updating language to clarify that ineligible noncitizens are eligible for emergency services. Updating age requirements and available slots for certain Home and Community Based Services (HCBS) waivers. Updating the retroactive month coverage information for Qualified Disabled Working Individuals (QDWI) and Part B-ID coverage.	PDF of Release 25.17
25.16	10.1.2025	Institutions for Mental Disease (IMD) 510-05-35-97 Gainful Employment 510-05-57-15 Asset Assessment Requirements 510-05-65-45 Asset Considerations 510-05-70-10 Excluded Assets 510-05-70-30 Income Considerations 510-05-85-05 Post Eligibility Treatment of Income 510-05-85-25 Disregarded Income 510-05-85-30	Updating verbiage for IMD. Reformatting and updating gainful employment policy.	PDF of Release 25.16
25.15	8.1.2025	Disregarded Income 510-05-85-30 Income Deductions 510-05-85-35	Clarifying income deductions for eligibility for CWD and WWD coverages. Reorganizing the deductions that are allowable for the Medicare Premium Assistance Program
25.14	Multiple Dates	Excluded Assets 510-05-70-30 Valuation of Asset - 510-05-70-60	Add Excluded Assets policy to align with CFR. Rewrite of Valuation of Asset policy.
ML 3935	7.1.2025	Asset Limits 510-05-70-15 Unearned Income 510-05-85-15 Disregarded Income 510-05-85-30 Income Deductions 510-05-85-35 Income Levels 510-05-85-40	Notices no longer sent if client is within $500 of asset limit. Update on policy for MHA (TAT) Update of medically needy income levels.
ML 3931	5.1.2025	Refugee Medical Assistance Program 510-05-95-20	Reflects new policy from ORR.
ML 3929	5.5.2025	Qualified Non-Citizens 510-05-35-58 Ineligible Non-Citizens 510-05-35-55	Removal of obsolete forms and provides current documents/forms.
ML 3918	5.1.2025	Need 510-05-35-35	Defining that “Need” has been established when applying for Medicaid in ACA and Non ACA policy.
ML 3916	1.1.2025	Definitions 510-05-05 Public Institutions 510-05-35-95 General Statement (Coverage for Inmates Receiving Inpatient Care in Certain Medical Institutions) 510-05-35-95-05-05 Definitions for Coverage for Inmates Receiving Inpatient Care in Certain Medical Institutions 510-05-35-95-05-10 Individuals Covered (Coverage for Inmates Receiving Inpatient Care in Certain Medical Institutions) 510-05-35-95-05-15 Coverage for Inmates Residing in Corrections-related Supervised Community Residential Facilities 510-05-35-95-10 Medicaid Eligibility for Incarcerated Individuals 510-05-35-95-15	Updating language in Medicaid policy to align with federal policy in SHO #24-004. Related to incarceration.
ML 3908	1.1.2025	Age and Identity 510-05-35-40	Align ACA and Non-ACA manuals regarding the statement of ‘reasonable opportunity period’ (ROP).
ML 3907	2/21/2025	Decision and Notice 510-05-25-25	Align ACA and Non-ACA manuals.
ML 3906	4/1/2025	Income Deductions 510-05-85-35	Allows deductions for prescription drug co-payments and over-the counter drugs.
ML 3896	4/1/2025	Income Levels for Spousal Impoverishment 510-05-65-35 Income Levels 510-05-85-40	Updating new federal poverty levels (FPL) for NonACA Medicaid
ML 3898	1/16/2025	Unearned Income 510-05-85-15 Disregarded Income 510-05-85-30	MHA (TAT) payments are excluded.
ML 3893	1/1/2025	Income Deductions 510-05-85-35	Removed verbiage.
ML 3892	1/1/2025	Application for Other Benefits 510-05-35-90 Excluded Assets 510-05-70-30 Income Considerations 510-05-85-05	Removal of policy that requires individuals to apply for other benefits.
ML 3891	1/1/2025	Asset Limits for the Medicare Premium Assistance Program 510-05-60-20 Community Spouse Asset Allowance 510-05-65-20 Home Equity Limit 510-05-70-27 Disqualifying Transfers 510-05-80	Medicare Savings Programs and Community Spouse Asset limit updates.