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Revision Notice 26-3, Effective Sept. 1, 2026
Archived Revision 26-2, Effective June 1, 2026 (PDF)
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)
Revisions
The following sections were revised in the Medicaid for the Elderly and People with Disabilities (MEPD) Handbook:
| Section | Title | Change |
|---|---|---|
| B-6300 | Institutional Living Arrangement | Clarifies 30 day stay policy. (All Programs) |
| E-6210 | Self-Employment Expenses | Incorporates policy from MEPD and TW Bulletin 26-05, Mileage Rate Increase, released on March 2, 2026. (All Programs) |
| E-8000 | Support and Maintenance | Clarifies support and maintenance policy. Edits section for formatting and clarity. (All Programs) |
| E-8100 | General Information | Clarifies support and maintenance policy. Edits section for formatting and clarity. (All Programs) |
| E-8140 | Exceptions to Counting Support and Maintenance | Clarifies support and maintenance policy. Edits section for formatting and clarity. (All Programs) |
| E-8160 | Living Arrangement | Clarifies support and maintenance policy. Edits section for formatting and clarity. (All Programs) |
| E-8211 | Contributing Less than Pro Rata Share | Changes title to Contributing Less than Pro Rata Share of General Household Expenses. Clarifies support and maintenance policy. Edits section for formatting and clarity. (All Programs) |
| E-8212 | Contributing an Earmarked Share of Shelter | Changes title to Contributing Less Than Pro Rata Share of Shelter. Clarifies support and maintenance policy. Edits section for formatting and clarity. (All Programs) |
| E-8213 | Contributing an Earmarked Share of Shelter Only | Changes title to Reserved for Future Use. (All Programs) |
| E-8220 | Ownership or Rental Liability | Clarifies support and maintenance policy. Edits section for formatting and clarity. (All Programs) |
| E-8221 | Receipt of Support and Maintenance (S/M) from Inside the Household | Clarifies support and maintenance policy. Edits section for formatting and clarity. (All Programs) |
| E-8222 | Receipt of Support and Maintenance from Outside the Household | Clarifies support and maintenance policy. Edits section for formatting and clarity. (All Programs) |
| E- 8222.1 | Rental Subsidy-Receipt of Support and Maintenance (S/M) from Outside the Household | Clarifies support and maintenance policy. Edits section for formatting and clarity. (All Programs) |
| E-8311 | Companion Case Not Contributing Pro Rata Share | Clarifies support and maintenance policy. Edits section for formatting and clarity. (All Programs) |
| E-8312 | Companion Case Contributing Pro Rata Share | Changes title to Reserved for Future Use. (All Programs) |
| E-8313 | Couple Case Not Contributing Pro Rata Share | Clarifies support and maintenance policy. Edits section for formatting and clarity. (All Programs) |
| E-8314 | Couple Case Contributing Pro Rata Share | Changes title to Reserved for Future Use. (All Programs) |
| E-8321 | Couple Case Not Contributing Pro Rata Share | Changes title to Couple Case Not Contributing Pro -Rata Share In Own Household. Clarifies support and maintenance policy. Edits section for formatting and clarity. (All Programs) |
| E-8322 | Companion Case Not Contributing Pro Rata Share In Own Household | Clarifies support and maintenance policy. Edits section for formatting and clarity. (All Programs) |
| E-8500 | Change of Permanent Living Arrangement | Clarifies support and maintenance policy. Edits section for formatting and clarity. (All Programs) |
| E-8610 | Excess Contributions Toward Household Expenses | Clarifies support and maintenance policy. Edits section for formatting and clarity. (All Programs) |
| E-8620 | Child Living with Parents and Siblings Only | Clarifies support and maintenance policy. Edits section for formatting and clarity. (All Programs) |
| E-8630 | Child Living In Own Household | Clarifies support and maintenance policy. Additional edits for formatting and clarity. (All Programs) |
| E-8640 | Child Living with Parents in Household of Another Person | Clarifies support and maintenance policy. Additional edits for formatting and clarity. (All Programs) |
| H-6260 | Facility Administrator Responsibilities | Changes title to Reserved for Future Use. (All Programs) |
| J-7200 | Spousal Co-Payment | Incorporates policy from MEPD and TW Bulletin 26-10, 2. Spousal Impoverishment Dependent Allowance, released on June 1, 2026. (All Programs) |
| J-7400 | Spousal Impoverishment Dependent Allowance | Incorporates policy from MEPD and TW Bulletin 26-10, 2. Spousal Impoverishment Dependent Allowance, released on June 1, 2026. (All Programs) |
| O-1600 | Home and Community Based Services | Clarifies functional requirements for eligibility and provider responsibilities. (All Programs) |
| O-1800 | Texas Home Living | Clarifies functional requirements for eligibility and provider responsibilities. (All Programs) |
| R-1300 | Notices | Clarifies when ME Communication Tool is required. (All Programs) |
| R-3100 | Establishing Processing Deadlines | Clarifies 30 day stay policy. (All Programs) |
| R-3813 | People at Entered Address | Clarifies support and maintenance policy. Edits for formatting and clarity. (All Programs) |
| Appendix XIV | In-Kind Support and Maintenance Charts A through E; Worksheets A through D | Added updated terminology related to support and maintenance policy. (All Programs) |
| Appendix XXII | Home and Community-Based Services Waiver Program Co-Payment Worksheets | Incorporates policy from MEPD and TW Bulletin 26-10, 2. Spousal Impoverishment Dependent Allowance, released on June 1, 2026. (All Programs) |
| Appendix XXX | Medical Effective Dates (MEDs) | Corrects hyperlink and revises language. (All Programs) |
| Appendix L | 2026 Income Resources Reference Chart | Incorporates policy from MEPD and TW Bulletin 26-10, 2. Spousal Impoverishment Dependent Allowance, released on June 1, 2026. (All Programs) |
Documents and Notices
The following documents or notices were added in the MEPD Handbook:
| Title | Change |
|---|---|
| Notice of SSI Medicaid Ending Instructions | Added sample to handbook in Documents and Notices section on March 31, 2026. |
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 |
|---|---|---|
| 03-20-26 | 26-07 | SNAP Purchase Restrictions |
| 03-02-26 | 26-05 | Mileage Rate Increase |
| 02-19-26 | 26-04 | 2026 Federal Poverty Level |
| 03-05-26 | 25-23 | Revised - Mandatory Shelter Costs Verification (PDF) |
| 09-02-22 | 22-15 | 1. TANF Maximum Grant Amounts 2. SNAP Income Limits Deductions and Allotments 3. SNAP-CAP Allotments 4. COVID-19 Update: Additional Emergency Allotment Supplement 5. Accessing The Work Number (TWN) Data Through the Centers for Medicare and Medicaid Services (CMS) Federal Data 6. Supplemental Nutrition Assistance Program Employment and Training (SNAP E&T) Provider Determinations 7. COVID-19 Update: Extended Supplemental Nutrition Assistance Program (SNAP) Certification Periods Attachment: SNAP Allotment Chart (PDF) |
| 08-27-21 | 21-16 | 1. COVID-19 Update: Pandemic Electronic Benefit Transfer (P-EBT) for Summer 2021 2. Afghan Special Immigrant Parolee (SI/SQ) and Lawful Permanent Resident (LPR) Status (PDF) |