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STATE OF ALASKA
Department of Health
Division of Public Assistance
TRANSMITTAL NUMBER: MC #73
MANUAL: Aged, Disabled and Long Term Care Medicaid Eligibility Manual
DATE: September 1, 2026
Beginning July 4, 2025 the 2025 Reconciliation Bill (H.R. 1) was signed into law. This law contains several provisions that affect the non citizen requirements of the Medicaid program that are effective October 1, 2026.
Highlights of these and other policy revisions are described below. If you have any questions, contact the Policy & Program Development Team at hss.dpa.policy@alaska.gov
OVERVIEW OF CHANGES
500(A) Applicable Eligibility Categories
Revised section to remove automatic Medicaid eligibility for APA Adult Public Assistance and SSI Supplemental Security Income recipients due to the Medicaid qualified alien requirements effective October 1st, 2026.
Added note to reflect individuals must also meet Medicaid qualified alien requirements effective October 1st, 2026.
501(A) Issuing Medicaid to Eligible Recipients
Revised section to reflect new process and new design of Medicaid cards.
511 B(1) Who is Not Required to Cooperate
Revised postpartum period from 60 days to 12 months to align with postpartum period change.
520(C) Proof of United States Citizenship and Qualified Alien Status
Removed reference to APA Adult Public Assistance MS 421, added reference to MAGI MS 808 , due to the Medicaid qualified alien requirements effective October 1st, 2026.
522 Medicaid Exceptions to APA Adult Public Assistance Eligibility Policy
Added note to reflect individuals must meet Medicaid qualified alien requirements effective October 1st, 2026.
522(A) Special Non-Immigrant Groups
Removed reference to APA Adult Public Assistance MS 421, added reference to MAGI MS 808-2 and MAGI MS 808-4(D) due to the Medicaid qualified alien requirements effective October 1st, 2026.
522(E) Renewal Requirements
Revised section to remove automatic Medicaid eligibility for SSI Supplemental Security Income recipients due to the Medicaid qualified alien requirements effective October 1st, 2026.
530 SSI Supplemental Security Income and APA Adult Public Assistance Related Categories
Revised section to remove automatic Medicaid eligibility for SSI Supplemental Security Income and APA Adult Public Assistance recipients due to the Medicaid qualified alien requirements effective October 1st, 2026.
Added note to reflect SSI Supplemental Security Income and APA Adult Public Assistance recipients and applicants must also meet Medicaid qualified alien requirements effective October 1st, 2026.
532 SSI Supplemental Security Income or APA Adult Public Assistance Ineligible for Reasons that Do Not Apply to Medicaid.
Added note to reflect individuals must also meet Medicaid qualified alien requirements effective October 1st, 2026.
533(A) TEFRA Tax Equity and Fiscal Responsibility Act, P.L. 97-248 Eligibility
Added note to reflect individuals must also meet Medicaid qualified alien requirements effective October 1st, 2026.
540 Grandfathered Eligibility Categories
Added note to reflect individuals must also meet Medicaid qualified alien requirements effective October 1st, 2026.
550 Eligibility Categories for an Individual Living in an Institution
Added note to reflect individuals must also meet Medicaid qualified alien requirements effective October 1st, 2026.
576(A) Definitions
Removed reference to APA Adult Public Assistance MS 421-6, added reference to MAGI MS 808-5 and MAGI MS 808-4 due to the Medicaid qualified alien requirements effective October 1st, 2026.
580 Medicare Savings Programs
Added note to reflect individuals must also meet Medicaid qualified alien requirements effective October 1st, 2026.