MEPD Revisions
26-2, June Quarterly Revision
Body
Revision Notice 26-2, Effective June 1, 2026
Archived Revision 26-1; Effective March 1, 2026 (PDF)
Archived Revision 25-4; Effective Dec. 1, 2025 (PDF)
Archived Revision 25-3; Effective Sept. 1, 2025 (PDF)
Archived Revision 25-2; Effective June 1, 2025 (PDF)
Revisions
The following sections were revised in the Medicaid for the Elderly and People with Disabilities (MEPD) Handbook:
| Section | Title | Change |
|---|---|---|
| F-4225.1 | Life Settlement | Incorporates policy from MEPD and TW Bulletin 26-01, AVS and Additional TIERS Updates, released on Jan. 30, 2026. (All Programs) |
| F-8200 | Tuition Savings Program (Qualified Tuition Programs) | Changes title to Tuition Savings Program and Qualified Tuition Programs. Incorporates policy from MEPD and TW Bulletin 26-01, AVS and Additional TIERS Updates, released on Jan. 30, 2026. (All Programs) |
| M-5200 | Medicaid Buy-In Income Limits | Incorporates policy from MEPD and TW Bulletin 26-04, 2026 Federal Poverty Level, released on Feb. 19, 2026. (All Programs) |
| M-7100 | Post Eligibility-Premium Budgets | Incorporates policy from MEPD and TW Bulletin 26-04, 2026 Federal Poverty Level, released on Feb. 19, 2026. (All Programs) |
| N-6330 | Ineligible Sibling Exclusion | Incorporates policy from MEPD and TW Bulletin 26-04, 2026 Federal Poverty Level, released on Feb. 19, 2026). (All Programs) |
| N-6351 | Examples of Budgeting Steps | Incorporates policy from MEPD and TW Bulletin 26-04, 2026 Federal Poverty Level, released on Feb. 19, 2026. (All Programs) |
| Q-2500 | QMB Income Limits | Incorporates policy from MEPD and TW Bulletin 26-04, 2026 Federal Poverty Level, released on Feb. 19, 2026. (All Programs) |
| Q-3200 | SLMB Income Limits | Incorporates policy from MEPD and TW Bulletin 26-04, 2026 Federal Poverty Level, released on Feb. 19, 2026. (All Programs) |
| Q-5200 | QI Income Limits | Incorporates policy from MEPD and TW Bulletin 26-04, 2026 Federal Poverty Level, released on Feb. 19, 2026. (All Programs) |
| Q-6200 | QDWI Income Limits | Incorporates policy from MEPD and TW Bulletin 26-04, 2026 Federal Poverty Level, released on Feb. 19, 2026. (All Programs) |
| Appendix IX | Medicare Savings Program Information | Incorporates policy from MEPD and TW Bulletin 26-04, 2026 Federal Poverty Level, released on Feb. 19, 2026. (All Programs) |
| Appendix XVI | Documentation and Verification Guide | Incorporates policy from MEPD and TW Bulletin 26-01, AVS and Additional TIERS Updates, released on Jan. 30, 2026. (All Programs) |
| Appendix XXII | Home and Community-Based Services Waiver Program Co-Payment Worksheets | Incorporates policy from MEPD and TW Bulletin 26-04, 2026 Federal Poverty Level, released on Feb. 19, 2026. (All Programs) |
| Appendix XXIX | Special Deeming Eligibility Test for Spouse to Spouse | Incorporates policy from MEPD and TW Bulletin 26-04, 2026 Federal Poverty Level, released on Feb. 19, 2026. (All Programs) |
| Appendix XXXI | Budget Reference Chart | Incorporates policy from MEPD and TW Bulletin 26-04, 2026 Federal Poverty Level, released on Feb. 19, 2026. (All Programs) |
| Appendix XXXIX | MBI Screening Tool and Worksheets | Incorporates policy from MEPD and TW Bulletin 26-04, 2026 Federal Poverty Level, released on Feb. 19, 2026. (All Programs) |
| Appendix XLVII | Simplified Redetermination Process | Changes title to Reserved for Future Use. Incorporates policy from MEPD and TW Bulletin 26-01, AVS and Additional TIERS Updates, released on Jan. 30, 2026. (All Programs) |
| Appendix L | 2025 Income and Resources Reference Chart | Incorporates policy from MEPD and TW Bulletin 26-04, 2026 Federal Poverty Level, released on Feb. 19, 2026. (All Programs) |
| Glossary | I | Updates the definition of In-kind. Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| Glossary | P | Adds entry for Presumed Maximum Value. Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All programs) |
| Glossary | S | Updates the definition of Support and Maintenance. Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All programs) |
Retired Bulletins
The following bulletins are deleted from the MEPD Handbook since the information has either been incorporated into the handbook or is no longer necessary:
| Release Date | Bulletin No. | Title |
|---|---|---|
| 02-05-26 | 26-02 | H.R. 1 SNAP Alien Eligibility Impact (PDF) |
| 12-29-25 | 25-24 | Federal Benefits 2026 Cost-of-Living Adjustment (COLA) |
| 11-10-25 | 25-21 | Partial November SNAP Allotments (PDF) Attachment: SNAP Allotment Chart November 2025 Partial Benefits (PDF) |
| 11-10-25 | 25-20 | Low-Income Home Energy Assistance Act of 1981 - LIHEAA (PDF) |
| 11-04-25 | 25-19 | 1. Remove Interview Requirement for Medicaid for Parents and Caretaker Relatives (PDF) 2. SNAP Treatment of Application and Recertification Timeframes - START (PDF) |
| 04-01-25 | 25-07 | 1. Removal of Fixed Certification Periods for Texas Works Medicaid Programs (PDF) 2. Processing Time Frames for MAGI Renewals Update (PDF) |
| 03-31-23 | 23-06 | COVID-19 Update: COVID-19 Assistance Payments (PDF) |
26-1, March Quarterly Revision
Body
Revision Notice 26-1, Effective March 1, 2026
Archived Revision 25-4; Effective Dec. 1, 2025 (PDF)
Archived Revision 25-3; Effective Sept. 1, 2025 (PDF)
Archived Revision 25-2; Effective June 1, 2025 (PDF)
Archived Revision 25-1; Effective March 1, 2025 (PDF)
Revisions
The following sections were revised in the Medicaid for the Elderly and People with Disabilities (MEPD) Handbook:
| Section | Title | Change |
|---|---|---|
| D-9410 | Examples of Sponsor-to-Alien Income Deeming | Incorporates policy from MEPD and Texas Works (TW) Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| E-7400 | Special Income Exemptions Used in Deeming | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8000 | Support and Maintenance | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8100 | General Information | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8110 | One-Third Reduction Rule | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8120 | One-Third Reduction +$20 Rule | Changes title to Presumed Maximum Value Rule. Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8121 | Community Attendant Services | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8130 | Support and Maintenance Items | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8140 | Exceptions to Counting Support and Maintenance | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8212 | Contributing an Earmarked Share of Food and Shelter | Changes title to Contributing an Earmarked Share of Shelter. Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8213 | Contributing an Earmarked Share of Either Food or Shelter | Changes title to Contributing an Earmarked Share Shelter Only. Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8214 | Separate Food Purchases | Changes title to Reserved for Future use. |
| E-8221 | Receipt of Support and Maintenance from Inside the Household | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8223 | Receipt of Support and Maintenance from Inside and Outside the Household | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8311 | Companion Case not Contributing Pro Rata Share | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8312 | Companion Case Contributing Pro Rata Share | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8314 | Couple Case Contributing Pro Rata Share | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8322 | Companion Case Not Contributing Pro-Rata Share | Changes title to Companion Case Not Contributing Pro-Rata Share In Own Household. Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8323 | Companion Case with Contributions | Deletes section. |
| E-8400 | Rent-Free Shelter | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8630 | Child Living in Own Household | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8640 | Child Living with Parents in Household of Another | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8700 | Long-Term Care Facilities | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| E-8800 | Verification and Documentation | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| F-3610 | Persons Impacted by Substantial Home Equity Disqualification | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| G-1310 | Community-Based Programs Using SSI Limits | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| G-1320 | Special Income Limits | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| G-2311.2 | Examples of Spouse-to-Spouse Deeming | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| G-2312.1 | Examples of Parent-to-Child Deeming | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| G-4310 | Computing Social Security Cost-of-Living Increases | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| H-1800 | Medicare Part B Premium | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| H-2140 | Deductions for Insurance Premiums | Incorporates policy from MEPD and TW Bulletin 25-18, Allowing Limited Scope Policy Premiums as Incurred Medical Expense, released Oct. 24, 2025. (All Programs) |
| H-2900 | IME Notices | Incorporates policy from MEPD and TW Bulletin 25-18, Allowing Limited Scope Policy Premiums as Incurred Medical Expense, released Oct. 24, 2025. (All Programs) |
| H-6000 | Co-Payment for SSI Cases | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| J-7200 | Spousal Co-Payment | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| J-7300 | ICF_IID Spousal Companion Cases | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| M-7100 | Post Eligibility- Premium Budgets | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| Q-1300 | MSP Resource Limits | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| Appendix VIII | Summary of Effects of Institutionalization on Supplemental Security Income (SSI) Eligibility | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| Appendix IX | Medicare Savings Program Information | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| Appendix XII | Nursing Facility and Home and Community-Based Services Waiver Information | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| Appendix XIV | In-Kind Support and Maintenance Charts and Worksheets | Incorporates policy from MEPD and TW Bulletin 25-17, Aligning Federal and State In-Kind Support and Maintenance Policies, released Oct. 20, 2025. (All Programs) |
| Appendix XXII | Home and Community-Based Services Waiver Program Co-Payment Worksheets | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| Appendix XXIX | Special Deeming Eligibility Test for Spouse to Spouse | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| Appendix XXXI | Budget Reference Chart | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| Appendix XXXVI | QITs and MEPD Information | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| Appendix XXXVIII | Pickle Disregard Computation Worksheet | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| Appendix XXXIX | MBI Screening Tool and Worksheets | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| Appendix L | Income and Resources Reference Chart | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
| Appendix LIII | Sponsor to Alien Deeming Worksheet | Incorporates policy from MEPD and TW Bulletin 25-24, Federal Benefits 2026 Cost-of-Living Adjustment (COLA), released Dec. 29, 2025. (All Programs) |
Forms
The following forms were revised in the MEPD Handbook:
| Form | Title | Change |
|---|---|---|
| H1053-IME Instructions | Provider Notice of Incurred Medical Expense Decision | Incorporates policy from MEPD and TW Bulletin 25-18, Allowing Limited Scope Policy Premiums as Incurred Medical Expense, released Oct. 24, 2025. (All Programs) |
Retired Bulletins
The following bulletins are deleted from the MEPD Handbook since the information has either been incorporated into the handbook or is no longer necessary:
| Release Date | Bulletin No. | Title |
|---|---|---|
| 11-21-25 | 25-23 | Mandatory Shelter Costs Verification (PDF) |
| 11-14-25 | 25-22 | Federal Government Shutdown Update (PDF) |
| 11-10-25 | 25-21 | Partial November SNAP Allotments (PDF) Attachment: SNAP Allotment Chart November 2025 Partial Benefits (PDF) |
| 11-10-25 | 25-20 | Low-Income Home Energy Assistance Act of 1981 - LIHEAA (PDF) |
| 11-04-25 | 25-19 | 1. Remove Interview Requirement for Medicaid for Parents and Caretaker Relatives (PDF) 2. SNAP Treatment of Application and Recertification Timeframes - START (PDF) |
| 10-24-25 | 25-18 | Allowing Limited Scope Policy Premiums as Incurred Medical Expenses (PDF) |
| 10-20-25 | 25-17 | Aligning Federal and State In-Kind Support and Maintenance Policies (PDF) |
| 10-01-25 | 25-16 | House Resolution 1 ABAWD Exceptions and Age Limit Change (PDF) Attachment: SNAP Work Rules Informing Script - English (PDF) Attachment: SNAP Work Rules Informing Script - Spanish (PDF) |
| 09-05-25 | 25-15 | 1. TANF Maximum Grant Amounts (PDF) 2. SNAP Income Limits, Deductions, and Allotments (PDF) 3. SNAP-CAP Shelter Threshold and Allotments (PDF) Attachment: SNAP Allotment Chart (PDF) |
| 07-22-25 | 25-13 | Compacts of Free Association (COFA) Eligibility (PDF) |
25-4, December Quarterly Revision
Body
Revision Notice 25-4, Effective Dec. 1, 2025
Archived Revision 25-3; Effective Sept. 1, 2025 (PDF)
Archived Revision 25-2; Effective June 1, 2025 (PDF)
Archived Revision 25-1; Effective March 1, 2025 (PDF)
Archived Revision 24-4; Effective Dec. 1, 2024 (PDF)
The following sections were revised in the Medicaid for the Elderly and People with Disabilities (MEPD) Handbook:
| Section | Title | Change |
|---|---|---|
| B-6200 | Financial Management | Incorporates policy from MEPD and TW Bulletin 25-12, 1. Update - Asset Verification System and TIERS Updates, released July 1, 2025. (All Programs) |
| B-7300 | MEPD Eligibility Pending a Decision of SSI Application | Incorporates policy from MEPD and TW Bulletin 25-11, Requirement to Apply for Other Benefits, released on June 13, 2025. (All Programs) |
| B-8200 | Redetermining Eligibility | Removes outdated cross-reference to B-8440 from Related Policy. (All Programs) |
| B-8460 | Changes and Program Transfers | Incorporates policy from MEPD and TW Bulletin 25-12, 1. Update - Asset Verification System and TIERS Updates, released July 1, 2025. (All Programs) |
| C-2230 | Verification and Documentation | Updates LOOP hyperlink. (All Programs) |
| C-8000 | Responsibility to Provide Information and Report Changes | Incorporates policy from MEPD and TW Bulletin 25-11, Requirement to Apply for Other Benefits, released on June 13, 2025. (All Programs) |
| D-6000 | Social Security Number and Application for Other Benefits | Changes section title to Social Security Number. Incorporates policy from MEPD and TW Bulletin 25-11, Requirement to Apply for Other Benefits, released on June 13, 2025. (All Programs) |
| D-6300 | Application for Other Benefits Requirement | Deletes section. |
| D-6310 | Other Benefits Subject to the Application Requirement | Deletes section. |
| D-6320 | Other Benefits Subject to the Application Requirement | Deletes section. |
| D-6330 | Payments That Are Not Other Benefits | Deletes section. |
| D-6340 | Supplemental Security Income (SSI) | Deletes section. |
| D-6350 | Veterans Benefits | Deletes section. |
| D-6351 | VA Pension or Compensation | Deletes section. |
| D-6352 | VA Wartime Periods | Deletes section. |
| D-6353 | VA Payments for Dependents | Deletes section. |
| D-6354 | Requirement to Apply for Apportionment of Augmented VA Benefit | Deletes section. |
| D-6400 | Treatment of Other Benefits | Deletes section. |
| D-6410 | Deeming Situations | Deletes section. |
| D-6420 | Payment Options for Other Benefits | Deletes section. |
| D-6421 | Survivor’s Benefits for Spouses and Other Dependents | Deletes section. |
| D-6422 | Lump Sum or Annuity Payment Option | Deletes section. |
| D-6430 | Electing the Month of Entitlement | Deletes section. |
| D-6440 | Establishing Eligibility After Denial | Deletes section. |
| D-6500 | Exceptions to the Application for Other Benefits Requirement | Deletes section. |
| D-6600 | When Not to Refer for Other Benefits | Deletes section. |
| E-4310 | Augmented and Apportioned VA | Incorporates policy from MEPD and TW Bulletin 25-11, Requirement to Apply for Other Benefits, released on June 13, 2025. (All Programs) |
| E-4311 | VA Pensions | Consolidates policy from E-4311.1, 1979 VA Pension Plan, and E-4311.2, $90 VA Pension and Institutional Setting. Incorporates policy from MEPD and TW Bulletin 25-11, Requirement to Apply for Other Benefits, released on June 13, 2025. (All Programs) |
| E-4311.1 | 1979 VA Pension Plan | Deletes section. |
| E-4311.2 | $90 VA Pension and Institutional Setting | Deletes section. |
| E-4312 | VA Compensation | Incorporates policy from MEPD and TW Bulletin 25-11, Requirement to Apply for Other Benefits, released on June 13, 2025. (All Programs) |
| E-4315 | VA Aid and Attendance and Housebound Payments | Incorporates policy from MEPD and TW Bulletin 25-11, Requirement to Apply for Other Benefits, released on June 13, 2025. (All Programs) |
| E-6500 | Self-Employment Income Examples | Removes duplicated text. (All Programs) |
| F-4100 | Types of Liquid Resources | Incorporates policy from MEPD and TW Bulletin 25-12, 1. Update - Asset Verification System and TIERS Updates, released July 1, 2025. (All Programs) |
| F-4101 | Financial Accounts | Creates new section. Incorporates policy from MEPD and TW Bulletin 25-12, 1. Update - Asset Verification System and TIERS Updates, released July 1, 2025. (All Programs) |
| F-4120 | Bank Accounts | Incorporates policy from MEPD and TW Bulletin 25-12, 1. Update - Asset Verification System and TIERS Updates, released July 1, 2025. (All Programs) |
| F-4180 | Uniform Transfers to Minors and Uniform Gifts to Minors | Creates new section. Incorporates policy from MEPD and TW Bulletin 25-12, 1. Update - Asset Verification System and TIERS Updates, released July 1, 2025. (All Programs) |
| F-4190 | Custodial Retirement | Creates new section. Incorporates policy from MEPD and TW Bulletin 25-12, 1. Update - Asset Verification System and TIERS Updates, released July 1, 2025. (All Programs) |
| F-6300 | Trusts (August 11, 1993 and After) | Updates title to Trusts - Aug. 11, 1993 and After. Incorporates policy from MEPD and TW Bulletin 25-12, 1. Update - Asset Verification System and TIERS Updates, released July 1, 2025. (All Programs) |
| F-8300 | Uniform Transfers to Minors | Changes title to Reserved for Future Use. |
| H-2160 | Pre-Eligibility IMEs | Clarifies policy for who and how IME deductions can be requested for pre-eligibility medical expenses. (All Programs) |
| I-5100 | Transfer of Assets Divisor | Incorporates policy from MEPD and TW Bulletin 25-14, Transfer of Assets Divisor, released on Aug. 1, 2025. (All Programs) |
| J-7200 | Spousal Co-Payment | Incorporates policy from MEPD and TW Bulletin 25-12, 2. Spousal Impoverishment Dependent Allowance, released on July 1, 2025. (All Programs) |
| J-7400 | Spousal Impoverishment Dependent Allowance | Incorporates policy from MEPD and TW Bulletin 25-12, 2. Spousal Impoverishment Dependent Allowance, released on July 1, 2025. (All Programs) |
| M-5200 | Medicaid Buy-In Income Limits | Updates text. (All Programs) |
| N-6351 | Examples of Budgeting Steps | Corrects example. (All Programs) |
| R-1300 | Notices | Removes link to MEPD Communication Tool. This is now located in TIERS PT Inquiry. (All Programs) |
| R-3400 | Merge and Separate Client or Individual Numbers | Updates text. (All Programs) |
| R-3740 | Asset Verification System (AVS) | Incorporates policy from MEPD and TW Bulletin 25-12, 1. Update - Asset Verification System and TIERS Updates, released July 1, 2025. (All Programs) |
| R-3742 | AVS Requests | Incorporates policy from MEPD and TW Bulletin 25-12, 1. Update - Asset Verification System and TIERS Updates, released July 1, 2025. (All Programs) |
| R-3743 | AVS Responses | Incorporates policy from MEPD and TW Bulletin 25-12, 1. Update - Asset Verification System and TIERS Updates, released July 1, 2025. (All Programs) |
| R-3744 | Consideration of AVS Information | Incorporates policy from MEPD and TW Bulletin 25-12, 1. Update - Asset Verification System and TIERS Updates, released July 1, 2025. (All Programs) |
| Appendix VIII | Summary of Effects on Institutionalization on Supplemental Security Income (SSI) Eligibility | Updates the LOOP hyperlink. (All Programs) |
| Appendix XIV | In-Kind Support and Maintenance Charts A through E; Worksheets A through D | Updates the LOOP hyperlink. (All Programs) |
| Appendix XVI | Documentation and Verification Guide | Incorporates policy from MEPD and TW Bulletin 25-12, 1. Update - Asset Verification System and TIERS Updates, released July 1, 2025. Incorporates policy from MEPD and TW Bulletin 25-11, Requirement to Apply for Other Benefits, released on June 13, 2025. (All Programs) |
| Appendix XVII | System Generated IEVS Worksheet Legends for IRS Tax Data | Updates the LOOP hyperlink. (All Programs) |
| Appendix XVIII | IRS Tax Code, Sections 7213, 7213A, and 7431 | Updates the LOOP hyperlink. (All Programs) |
| Appendix XX | Deeming Noninstitutional Budgets - Couple Living in the Same Household | Updates the LOOP hyperlink. (All Programs) |
| Appendix XXII | Home and Community-Based Services Waiver Program Co-Payment Worksheets No. 2 and No. 5 | Incorporates policy from MEPD and TW Bulletin 25-12, 2. Spousal Impoverishment Dependent Allowance, released on July 1, 2025. (All Programs) |
| Appendix XXIII | Procedure for Designated Vendor Number to Withhold Vendor Payment | Updates the LOOP hyperlink. (All Programs) |
| Appendix XXV | Accessibility to Income and Resources in Joint Bank Accounts | Updates the LOOP hyperlink. (All Programs) |
| Appendix XXVI | ICF/IID Vendor Payment Budget Worksheets | Updates the LOOP hyperlink. (All Programs) |
| Appendix XXVII | Worksheet for Expanded SPRA on Appeal | Updates the LOOP hyperlink. (All Programs) |
| Appendix XXVIII | Worksheet for Spouse's Income (Post-Expanded SPRA Appeals) | Updates the LOOP hyperlink. (All Programs) |
| Appendix XXXI | Budget Reference Chart | Incorporates policy from MEPD and TW Bulletin 25-12, 1. Spousal Impoverishment Dependent Allowance, released on July 1, 2025 and from MEPD and TW Bulletin 25-14, Transfer of Assets Divisor, released on Aug. 1, 2025. (All Programs) |
| Appendix XXXIV | Burial Resources | Updates the LOOP hyperlink. (All Programs) |
| Appendix XXXV | Treatment of Insurance Dividends | Updates the LOOP hyperlink. (All Programs) |
| Appendix XXXVI | Qualified Income Trusts (QITs) and Medicaid for the Elderly and People with Disabilities (MEPD) Information | Changes title to QITs and MEPD Information. Incorporates policy from MEPD and TW Bulletin 25-14, Transfer of Assets Divisor, released on Aug. 1, 2025. (All Programs) |
| Appendix XXXVIII | Pickle Disregard Computation Worksheet | Updates the LOOP hyperlink. (All Programs) |
| Appendix XLVII | Simplified Redetermination Process | Updates the LOOP hyperlink. (All Programs) |
| Appendix XLVIII | Medicaid Buy-In for Children (MBIC) Denial Codes | Updates the LOOP hyperlink. (All Programs) |
| Appendix XLII | Variable Income Worksheet | Updates the LOOP hyperlink. (All Programs) |
| Appendix XLIX | Medicaid Buy-In for Children Program Forms Chart | Updates the LOOP hyperlink. (All Programs) |
| Appendix L | 2025 Income and Resources References Chart | Incorporates policy from MEPD and TW Bulletin 25-12, 2. Spousal Impoverishment Dependent Allowance, released on July 1, 2025 and from MEPD and TW Bulletin 25-14, Transfer of Assets Divisor, released on Aug. 1, 2025. (All Programs) |
| Appendix LIII | Sponsor to Alien Deeming Worksheet | Updates the LOOP hyperlink. (All Programs) |
| Appendix LIV | Description of Alien Resident Cards | Updates the LOOP hyperlink. (All Programs) |
Retired Bulletins
The following bulletins are deleted from the MEPD Handbook since the information has either been incorporated into the handbook or is no longer necessary:
| Release Date | Bulletin No. | Title |
|---|---|---|
| 08-01-25 | 25-14 | Transfer of Assets Divisor |
| 07-01-25 | 25-12 | 1. Update - Asset Verification System and TIERS Updates 2. Spousal Impoverishment Dependent Allowance |
| 06-13-25 | 25-11 | Requirement to Apply for Other Benefits |
| 06-02-25 | 25-10 | Update - Continuous Eligibility for Medicaid for Children Under 19 - Department of Family and Protective Services (DFPS) |
| 03-21-25 | 25-06 | Timely Change Reporting (PDF) |
25-3, September Quarterly Revision
Body
Revision 25-3; Effective Sept. 1, 2025
Archived Revision 25-2; Effective June 1, 2025 (PDF)
Archived Revision 25-1; Effective March 1, 2025 (PDF)
Archived Revision 24-4; Effective Dec. 1, 2024 (PDF)
Archived Revision 24-3; Effective Sept. 1, 2024 (PDF)
The following sections were revised in the Medicaid for the Elderly and People with Disabilities (MEPD) Handbook:
| Section | Title | Change |
|---|---|---|
| A-2100 | Supplemental Security Income | Updates cross-references. (All Programs) |
| B-7110 | Continuous Medicaid Coverage After SSI Denial for Income | Changes name of section to Medicaid Coverage After SSI Termination. Updates Supplemental Security Income redetermination policy. (All Programs) |
| B-7200 | SSI Cash Benefits Denied Due to Entry into a Medicaid Facility | Updates SSI redetermination policy. (All Programs) |
| B-7210 | Ensuring Continuous Medicaid Coverage | Removes section. (All Programs) |
| E-2230 | Exclusion for Impairment-Related Work Expenses | Adds new section to clarify income exclusions. (All Programs) |
| E-6210 | Self-Employment Expenses | Incorporates policy from MEPD and TW Bulletin 25-01, Revised – Mileage Rate Increase, released on February 5, 2025. |
| F-1310 | Points in Time for Establishing Resource Values | Clarifies early deposit policy. (All Programs) |
| H-2710 | Using the TX Dental IME Fee Schedule | Updates hyperlink. (All Programs) |
| R-1200 | Medical Effective Date | Updates cross-references and removes reference to outdated related policy section. (All Programs) |
Retired Bulletins
The following bulletins are deleted from the MEPD Handbook since the information has either been incorporated into the handbook or is no longer necessary:
| Release Date | Bulletin Number | Title |
|---|---|---|
| 05-23-25 | 25-09 | SNAP and TANF Telephonic Signatures (PDF) |
| 04-01-25 | 25-08 | SNAP Work Rules – Verbal Informing Documentation (PDF) |
| 03-10-25 | 25-05 | Flexibility: SNAP Change of Address (PDF) |
| 02-26-25 | 25-04 | 2025 Federal Poverty Level (PDF) |
| 02-05-25 | 25-02 | Household Composition Update (PDF) |
| 02-05-25 | 25-01 | Revised - Mileage Rate Increase (PDF) |
| 12-27-24 | 24-18 | Update - SNAP Unauthorized Use Replacement Benefits (PDF) |
| 12-20-24 | 24-17 | Federal Benefits 2025 Cost-of-Living Adjustment (COLA) - (PDF) |