Memo MC #76 (09/26)

STATE OF ALASKA

Department of Health

Division of Public Assistance

TRANSMITTAL NUMBER : MC #76

MANUAL : Adult Public Assistance

Date : September 1, 2026

Beginning July 4, 2025 the 2025 Reconcilliation 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. APA and SSI recipients will no longer be automatically eligible for Medicaid due to the non citizen requirements that are effective October 1, 2026.

Highlights of these and other policy revisions are described below. If you have questions, contact the Policy and Program Development Team at hss.dpa.policy@alaska.gov .

OVERVIEW OF CHANGES

MS 400-1 AN OVERVIEW OF THE ADULT PUBLIC ASSISTANCE PROGRAM

Revised section to reflect APA recipients must also meet Medicaid qualified alien requirements as an eligibility factor for Medicaid effective October 1st, 2026

MS 410-4 VERIFICATION

Added a note regarding the new death match and prisoner match notices

MS 410-7 C ELIGIBILITY FOR MEDICAID

Added note to reflect individuals must meet Medicaid qualified alien requirements as an eligibility factor for Medicaid effective October 1st, 2026

MS 421-6 A VERIFICATION OF U.S. CITIZENSHIP IS NOT REQUIRED FOR

Revised note to remove automatic Medicaid eligibility for APA recipients due to the Medicaid qualified alien requirements effective October 1st, 2026

MS 425-2 C SSA BLINDNESS OR DISABILITY DECISIONS

Revised section to remove automatic Medicaid eligibility for APA recipients due to the Medicaid qualified alien requirements effective October 1st, 2026

MS 425-3 C BLIND OR DISABLED APPLICANTS WHO DO NOT APPEAR ELIGIBLE FOR SSI AND HAVE NOT BEEN DETERMINED ELIGIBLE FOR SSA DISABILITY

Revised section to reflect APA recipients must also meet Medicaid qualified alien requirements, due to the Medicaid qualified alien requirements effective October 1st, 2026

MS 426-7 C NOT ELIGIBLE FOR SSI SOLELY BECAUSE OF EXCESS INCOME

Revised section to reflect the individual meets all other factors of the Medicaid program. Due to Medicaid qualified alien requirements effective October 1st, 2026

MS 433-4 (3) ABLE ACCOUNTS

Revised section to reflect Medicaid alien requirements as an eligibility factor for Medicaid effective October 1st, 2026

MS 480-1 B REVIEWS FOR SSI RECIPIENTS

Revised section to reflect Medicaid may continue if Medicaid eligibility requirements are still met due to Medicaid qualified alien requirements effective October 1st, 2026

MS 480-5 A SUSPENSION

Revised section to reflect Medicaid may continue if Medicaid eligibility requirements are still met due to Medicaid qualified alien requirements effective October 1st, 2026