in-20260916-IR-405260320ONA: OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES

Summary

In accordance with public notice requirements established at 42 CFR 447.205, the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP) publishes this notice of proposed changes to methods and standards governing immigrant eligibility coverage and policies. The public notice period is from September 16, 2026, to October 16, 2026. In response to Section 71109 of the Working Families Tax Cut Act, FSSA, OMPP is proposing changes to the eligibility criteria for granting full-coverage Medicaid for certain immigrants. Effective October 1, 2026, the only acceptable statuses will be reduced to only the following: The Division of Family Resources (DFR) will review immigration status for potentially impacted members prior to October 1, 2026. The number impacted and fiscal impact is not yet known as these members will need to submit new information or attest to a qualified status, and have it validated by federal interfaces we use to verify citizenship and immigration status. However, there is no potential for increased costs to Medicaid assistance with this change. All impacted members who do not hold one of the four approved statuses will either have their benefits terminated (if they fail to provide some requested documentation needed to determine their status) or will have their Medicaid coverage reduced from full coverage to the limited benefit for Emergency Services Only. A copy of this notice is now on file at the Indiana...

The agency’s own summary, as published.