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The following information was included in the Oct. 19 e-newsletter. It is subject to change pending issuance of further guidance from the Centers for Medicare & Medicaid Services:
Noncitizen adult MA eligibility changes are now in effect
On Oct. 1, 2026, federal law changed who can qualify for federally funded Medical Assistance (MA) based on immigration status.
Many individuals who lost MA coverage due to federal changes are eligible for MinnesotaCare. However, premium payments are required for coverage to begin. People who did not make their initial payment in time for coverage to begin Oct. 1 can still make their initial payments in October to begin coverage November 1.
Resource for full details: Noncitizen adults and MinnesotaCare premiums webpages
Bulletin: Six-month eligibility renewals for certain adults on MA or EMA
H.R. 1 requires Medicaid eligibility renewals occur every six months for people enrolled under the adults without children basis of eligibility, beginning January 1, 2027.
Resource for full details: DHS Announces Six-Month Eligibility Renewals for Certain Adults Enrolled in MA or EMA
Medical frailty
CMS recently hosted calls with states to provide an example of how a state could implement a tiered medical frailty framework using reliable information primarily from adjudicated claims or encounter data. We are developing draft definitions and a code list that will be available for public comment in the coming months.
Resource for full details: Implementing Medical Frailty Under Community Engagement (Section 71119 of WFTC Legislation)
Work requirements
DHS has contracted with Deloitte Consulting to support verification activities for the new H.R. 1 work or community engagement requirements. It is a two-year contract, with an option to extend up to five years. Deloitte also supported our unwind efforts.
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