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) |