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Page 8 – CMCS Informational Bulletin financial eligibility is determined using modified adjusted gross income (MAGI), including beneficiaries in the adult group under section 1902(a)(10)(A)(i)(VIII) of the Act.8 Section 71107 amends section 1902(e)(14) of the Act to add a new subparagraph (L) that requires more frequent eligibility redeterminations for the population enrolled in the Medicaid adult group under section 1902(a)(10)(A)(i)(VIII) of the Act. Additionally, these requirements apply to individuals who are described in section 1902(a)(10)(A)(i)(VIII) who are otherwise enrolled in coverage under a waiver of the state plan (including through a section 1115 demonstration) that provides coverage that is equivalent to minimum essential coverage (MEC)9 to all individuals described in section 1902(a)(10)(A)(i)(VIII) of the Act. Beginning with renewals scheduled on or after January 1, 2027, states and the District of Columbia will be required to conduct renewals once every 6 months for these individuals, rather than once every 12 months. The new requirements of this section do not apply to certain American Indians and Alaska Natives described in section 1902(xx)(9)(A)(ii)(II)10 of the Act who otherwise would be subject to the new 6-month renewal requirement. The new requirements of this section do not change renewal requirements for individuals enrolled in all other eligibility groups, whether MAGI- based or non-MAGI based. CMS is required to issue guidance related to section 71107 by December 31, 2025. Section 1902(e)(14)(L) of the Act, as added by section 71107, is applicable to all states and the District of Columbia that provide coverage to the affected populations as noted above; it does not apply to the territories. Section 71108. Revising Home Equity Limit for Determining Eligibility for Long-Term Care Services under the Medicaid Program Section 1917(f)(1) of the Act prohibits states, subject to certain exceptions, from providing Medicaid coverage of nursing facility services and other long-term services and supports to individuals whose home equity exceeds certain dollar limits.11 This rule applies to both MAGI- 8 CMS refers to the renewal requirements at 42 CFR § 435.916 in effect as of 2023. Amendments to renewal requirements were made by the 2024 Eligibility & Enrollment Final Rule. Although states were originally required to comply with these amendments by June 2027, the moratorium at Section 71102 temporarily prohibits CMS from implementing, administering, or enforcing these amendments until September 30, 2034. 9 MEC is defined in the statute as follows: “as described in section 5000A(f)(1)(A) of the Internal Revenue Code of 1986 and determined in accordance with standards prescribed by the Secretary in regulations.” 10 This exemption specifically applies to: an Indian or Urban Indian (as such terms are defined in paragraphs (13) and (28) of section 4 of the Indian Health Care Improvement Act); a California Indian described in section 809(a) of such Act; or those who have otherwise been determined eligible as an Indian for the Indian Health Service under regulations promulgated by the Secretary. 11 CMS has instructed states that they should follow the basic policies of the supplemental security income (SSI) program in determining home equity value. CMS State Medicaid Director Letter #06-018, Enclosure, “Section 6011 and 6016,” page 23, available at https://downloads.cms.gov/cmsgov/archived-downloads/SMDL/downloads/toaenclosure.pdf.