Revision Notice 21-2; Effective June 1, 2021


Archived Revision 21-1; Effective March 1, 2021
Archived Revision 20-4; Effective December 1, 2020
Archived Revision 20-3; Effective September 1, 2020
Archived Revision 20-2; Effective June 1, 2020


The following sections were revised in the Medicaid for the Elderly and Persons with Disabilities (MEPD) Handbook:

Sections Section Title Change
Self-Employment Income;
Qualified Medicare Beneficiaries (QMB) – MC – QMB;
Qualified Disabled and Working Individuals (QDWI) –MC-QDWI
Updates sections for plain language. (All Programs)
E-6210 Self-Employment Expenses Incorporates policy from MEPD and TW Bulletin 21-03, 2. Mileage Rate Decrease, released on Feb. 5, 2021. Adds note regarding using the mileage rate instead of tracking actual transportation expenses. (All Programs)
Appendix IX
Appendix XXII
Appendix XXIX
Appendix XXXI
Appendix XXXIX
Appendix L
Medicaid Buy-In (MBI) Income Limits;
Post Eligibility – Premium Budgets;
Ineligible Sibling Exclusion;
Examples of Budgeting Steps;
QMB Income Limits;
SLMB Income Limits;
QI Income Limit;
QDWI Income Limit;
Medicare Savings Program Information;
Home and Community-Based Services Waiver Program Co-Payment Worksheets;
Special Deeming Eligibility Test for Spouse to Spouse;
Budget Reference Chart;
MBI Screening Tool and Worksheets;
2020 Income/Resources Reference Chart
Incorporates policy from MEPD and TW Bulletin 21-03, 4. 2021 Federal Poverty Level, released on Feb. 5, 2021. Updates sections and charts with 2021 FPL income and resource amounts. (All Programs)
Specified Low-Income Medicare Beneficiaries (SLMB) – MC-SLMB;
Qualifying Individuals (QIs)
Aligns language regarding dual eligibility for SLMB and QI for certain Medicaid recipients. (MSP)

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
02-05-2021 21-03 1. COVID-19: Additional Emergency Allotment Supplement
2. Mileage Rate Decrease
3. Temporary Census Income
4. 2021 Federal Poverty Level
12-04-2020 20-29 Federal Benefits 2021 Cost-of-Living Adjustment (COLA)
11-30-2020 20-27 Electronic Benefit Transfer (EBT) Form Updates
10-22-2020 20-25 Retest Medicaid Eligibility for Persons Certified on Children’s Health Insurance Program (CHIP) or CHIP Perinatal (CHIP-P)
09-11-2020 20-22

1. TIERS Updates Related to Pre-Tax Contributions
2. MAGI Updates for Alimony
3. MAGI Updates for Moving Expenses
4. Determining Good Cause for SNAP Employment and Training Noncompliance
5. Revised SNAP Income Limits, Deductions, and Allotments
6. Revised TANF Maximum Grant Amounts
7. Revised SNAP-CAP Allotment

Attachment – SNAP Allotment Chart

05-12-2020 20-12 SNAP Online Purchasing Project
06-04-2020 20-11

1. Adult Certified for the Healthy Texas Women Program Leaves the Household
2. Alignment of Medicaid Certification Periods for all Children Living in the Same Household
3. Revised - New SNAP Benefits Distribution Schedule

03-02-2020 20-03 1. Activity Fees as an Allowable Dependent Care Deduction
2. Action on Prisoner Matches
3. Excluding the Full Value of Prepaid Burial Insurance
02-18-2020 20-02 Reasonable Opportunity for Healthy Texas Women (HTW)
10-21-2019 19-09 1. Alimony Paid for MAGI Expenses
2. Data Broker - Predictive Analytics Phase II