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) |