An official State of Texas website.
Revision Notice 24-1; Effective March 1, 2024
Archived Revision 23-4; Effective Dec. 1, 2023
Archived Revision 23-3; Effective Sept. 1, 2023
Archived Revision 23-2; Effective June 1, 2023
Archived Revision 23-1; Effective March 1, 2023
The following sections were revised in the Medicaid for the Elderly and People with Disabilities (MEPD) Handbook:
| Section | Title | Change |
|---|---|---|
| B-3221 | Valid Signatures | Incorporates policy from MEPD and TW Bulletin 23-14, Application Process Updates for Marketplace Account Transfers, released on Sept. 15, 2023. (All Programs) |
| B-3500 | Coordination with the Federal Marketplace | Adds new section. Incorporates policy from MEPD and TW Bulletin 23-14, Application Process Updates for Marketplace Account Transfers, released on Sept. 15, 2023. (All Programs) |
| B-3510 | Applications Received from the Marketplace | Adds new section. Incorporates policy from MEPD and TW Bulletin 23-14 Application Process Updates for Marketplace Account Transfers, released on Sept. 15, 2023. (All Programs) |
| B-3520 | Verifications Provided by the Marketplace | Adds new section. Incorporates policy from MEPD and TW Bulletin 23-14, Application Process Updates for Marketplace Account Transfers, released on Sept. 15, 2023. (All Programs) |
| D-9410 | Examples of Sponsor-to-Alien Income deeming | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| E-4311.2 | $90 VA Pension and Institutional Setting | Incorporates policy from MEPD and TW Bulletin 23-16, Personal Needs Allowance Increase, released on Dec. 1, 2023. (All Programs) |
| F-3610 | Persons Impacted by Substantial Home Equity Disqualification | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| G-1310 | Community-Based Programs Using SSI Limits | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| G-1320 | Special Income Limits | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| G-2311.2 | Examples of Spouse-to-Spouse Deeming | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| G-2312.1 | Examples of Parent-to-Child Deeming | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| G-4310 | Computing Social Security Cost-of-Living Increases | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| H-1500 | Personal Needs Allowance | Incorporates policy from MEPD and TW Bulletin 23-16, 3. Personal Needs Allowance Increase, released on Dec. 1, 2023. (All Programs) |
| H-1800 | Medicare Part B Premium | Incorporates policy from MEPD and Texas Works Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| H-2790 | When the Co-Payment Adjustment is Not Used to Pay Dental Provider | Clarifies policy about payment not used to pay the provider and removes requirement to consult legal counsel. (All Programs) |
| H-2870 | When the Co-Payment Adjustment is Not Used to Pay DME Provider | Clarifies policy about payment not used to pay the provider. Removes requirement to consult legal counsel. (All Programs) |
| H-4100 | Individual and Couple Cases | Incorporates policy from MEPD and TW Bulletin 23-16, Personal Needs Allowance Increase, released on Dec. 1, 2023. (All Programs) |
| H-5110 | ICF/IID Individual | Incorporates policy from MEPD and TW Bulletin 23-16, Personal Needs Allowance Increase, released on Dec. 1, 2023. (All Programs) |
| H-5120 | ICF/IID Couple | Incorporates policy from MEPD and TW Bulletin 23-16, Personal Needs Allowance Increase, released on Dec. 1, 2023. (All Programs) |
| H-5130 | ICF/IID Companion | Incorporates policy from MEPD and TW Bulletin 23-16, Personal Needs Allowance Increase, released on Dec. 1, 2023. (All Programs) |
| H-6000 | Co-Payment for SSI Cases | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023, and MEPD and TW Bulletin 23-16, Personal Needs Allowance Increase, released on Dec. 1, 2023. (All Programs) |
| J-6210 | Sharing Required Information | Incorporates policy from MEPD and TW Bulletin 23-16, Personal Needs Allowance Increase, released on Dec. 1, 2023. (All Programs) |
| J-7200 | Spousal Co-Payment | Incorporates policy from MEPD and Texas Works Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023 and MEPD and TW Bulletin 23-16, Personal Needs Allowance Increase, released on Dec. 1, 2023. (All Programs) |
| J-7300 | ICF/IID Spousal Companion Cases | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023, and MEPD and TW Bulletin 23-16, Personal Needs Allowance Increase, released on Dec. 1, 2023. (All Programs) |
| M-7100 | Post Eligibility Premium Budgets | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| Q-1300 | MSP Resource Limits | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| Glossary | F | Updates definitions of fair market value, Federal Benefit Rate and Federal Financial Participation. (All Programs) |
| Appendix IX | Medicare Savings Program Information | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| Appendix XII | Nursing Facility and Home and Community-Based Services Waiver Information | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| Appendix XXII | Home and Community-Based Services Waiver Program Co-Payment Worksheets | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| Appendix XXVI | ICF/ID Vendor Payment Budget Worksheets | Updates title to ICF/IID Vendor Payment Budget Worksheets. Incorporates policy from MEPD and TW Bulletin 23-16, Personal Needs Allowance Increase, released on Dec. 1, 2023. (All Programs) |
| Appendix XXIX | Special Deeming Eligibility Test for Spouse to Spouse | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| Appendix XXXI | Budget Reference Chart | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| Appendix XXXVI | Qualified Income Trusts (QITs) and Medicaid for the Elderly and People with Disabilities (MEPD) Information | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| Appendix XXXVIII | Pickle Disregard Computation Worksheet | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| Appendix L | 2024 Income/Resources Reference Chart | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
| Appendix LIII | Sponsor to Alien Deeming Worksheet | Incorporates policy from MEPD and TW Bulletin 23-17, Federal Benefits 2024 Cost-of-Living Adjustment (COLA), released on Dec. 1, 2023. (All Programs) |
Retired Bulletins
The following bulletins are deleted from the Medicaid for the Elderly and People with Disabilities (MEPD) Handbook. The information was either incorporated into the handbook or is no longer necessary:
| Release Date | Bulletin No. | Title |
|---|---|---|
| 09-29-23 | 23-15 | SNAP Work Rules – Verbal Informing Script Update |
| 09-15-23 | 23-14 | 1. TANF Maximum Grant Amounts Attachment: SNAP Allotment Charts |
| 08-04-23 | 23-13 | Automation of Form H3038-P, CHIP Perinatal - Emergency Medical Services Certification |
| 06-01-23 | 23-11 | Spousal Impoverishment Dependent Allowance |
| 05-24-23 | 23-10 | SNAP Unauthorized Use Replacement Benefits |
| 05-01-23 | 23-09 | 1. COVID-19 Update: Resetting ABAWD Countable Months to Zero 2. COVID-19 Update: SNAP Student Eligibility Ending 3. COVID-19 Update: Extended Supplemental Nutrition Assistance Program (SNAP) Certification Periods |
| 03-07-23 | 23-05 | 1. Revised - SNAP E&T Good Cause Attachments:
|
| 03-02-23 | 23-04 | 2023 Federal Poverty Level |
| 02-10-23 | 23-03 | Updates to Afghan Eligibility for Federal Benefits |
| 12-01-22 | 22-20 | 1. COVID-19 Update: Additional Emergency Allotment Supplement (PDF) 2. COVID-19 Policy Update: Processing Case Actions for Medical Programs (PDF) 3. COVID-19 Update: Extended Supplemental Nutrition Assistance Program (SNAP) Certification Periods |
| 11-01-22 | 22-17 | 1. COVID-19 Update: Additional Emergency Allotment Supplement 2. Updated Afghan Eligibility for Federal Benefits |
| 10-03-22 | 22-16 | COVID-19 Update: Additional Emergency Allotment Supplement |
| 05-09-22 | 22-08 | 1. COVID 19 Update: Processing a “Move Out of Household” Change for Medicaid Recipients 2. COVID-19 Update: Medicaid Recipients Who Are Incarcerated 3. COVID-19 Update: Voluntary Withdrawal from Medicaid During the COVID-19 Public Health Emergency |
| 04-15-22 | 22-06 | COVID-19 Update: Pandemic Electronic Benefit Transfer (P-EBT) for School Year 2021-2022 |
| 02-01-22 | 22-02 | 1. COVID 19 Update: Additional Emergency Allotment Supplement 2. COVID-19 Update: Processing Denial Actions for Medicaid Programs 3. Medicaid for Inmates of Juvenile Institutions 4. Mileage Rate Increase |
| 10-08-21 | 21-20 | COVID-19 Update: Pending Medicaid Eligibility Determination Groups (EDGs) with Continuous Eligibility |
| 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 |
| 07-16-21 | 21-13 | 1. COVID-19 Update: Child Tax Credits (CTC) and Earned Income Tax Credits (EITC) 2. COVID-19 Update: Resuming Workforce Orientation for Applicants (WOA) & Choices Participation 3. COVID-19 Update: Temporary Increase in SNAP Benefits |
| 07-01-21 | 21-12 | 1. COVID-19 Update: Additional Emergency Allotment Supplement 2. COVID-19 Update: Processing Medicaid Applications for Children Previously in the Conservatorship of the Department of Family and Protective Services (DFPS) 3. Transfer of Assets Divisor |
| 05-20-21 | 21-10 | 1. Compact of Free Association (COFA)Citizens (PDF) 2. COVID-19: Pandemic Electronic Benefit Transfer (P-EBT) for School Year 2020-2021 (PDF) |
| 04-08-21 | 21-07 | 1. COVID-19 Update: Processing Denial Actions for Medicaid Programs 2. COVID-19 Update: Additional Emergency Allotment (EA) Supplement |
| 04-02-21 | 21-06 | 1. COVID-19 Update: Recovery Rebates 2. COVID-19: Transfer of Assets (PDF) 3. COVID-19 Update: Federal Pandemic Unemployment (FPUC) (PDF) 4. COVID-19 Update: Pandemic Unemployment Assistance (PUA) (PDF) 5. COVID-19 Update: Pandemic Emergency Unemployment Compensation (PEUC) (PDF) |
| 01-06-21 | 21-01 | 1. COVID-19 Update: Recovery Rebates 2. COVID-19 Update: Federal Pandemic Unemployment (FPUC) 3. COVID-19 Update: Pandemic Unemployment Assistance (PUA) 4. COVID-19 Update: Pandemic Emergency Unemployment Compensation (PEUC) |
| 12-22-20 | 20-30 | COVID Policy Updates #20 |
| 09-30-20 | 20-21 | COVID Policy Updates #15 |
| 06-05-20 | 20-15 | COVID-19 Policy Updates #10 |
| 05-12-20 | 20-13 | COVID-19 Policy Updates #8 |
| 04-27-20 | 20-10 | COVID-19 Policy Updates #7 |
| 04-07-20 | 20-06 | COVID-19 Policy Updates #3 |
| 03-27-20 | 20-05 | COVID-19 Policy Updates #2 |
| 03-23-20 | 20-04 | COVID-19 Policy Updates #1 |
| 05-30-19 | 19-06 | 1. Spousal Impoverishment Dependent Allowance 2. Spousal Impoverishment for Waiver Participants |
| 10-03-17 | 17-15 TW 17-10 MEPD | 1.Counting Social Security Benefits for Modified Adjusted Gross Income Programs 2.Social Security Number Validation 3.Determining Good Cause for SNAP Employment and Training Noncompliance |
| 01-06-15 | 15-03 | Budgeting of Alien Sponsor's Income and Resources |
| 09-06-11 | 12-01 | Vendor Imaging Forms H1263-A and H1263-B Appendix XLVI – Unsigned Renewal/ 12-2010 Appendix XLVI – Unsigned Renewal/ 12-2010 – Spanish |