in-20260923-IR-405260320ONA: OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES

OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES Public Notice for Change in Immigrant Eligibility In accordance with the public notice requirements outlined in 42 CFR 457.65(b), and in response to Section 71109 of the Working Families Tax Cut Act, the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP) is proposing changes to the eligibility criteria for granting full-coverage Medicaid for certain immigrants. OMPP announces its intention to submit an amendment to the state plan. The public notice period is from September 23, 2026, to October 23, 2026. Effective October 1, 2026, the only acceptable statuses will be reduced to only the following: The Division of Family Resources will review immigration status for potentially impacted members prior to October 1, 2026. 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. Total Fiscal Impact (in millions): These changes are effective October 1, 2026. A copy of this notice is now on file at the Indiana Government Center South, 402 West Washington Street, Room W451, Indianapolis, Indiana and is open for public inspection. Also, a copy of this notice is now available and may be inspected by contacting the local county Division of Family Resources office, except in Marion County, where public inspection may be made at 402 West Washington Street, Room W374, Indianapolis, Indiana. There will be no public hearing. Written comments will be accepted until 5:00 p.m. on October 9, 2026, and may be directed to FSSA, Office of Medicaid Policy and Planning, Attention: Sarah Tomes, 402 West Washington Street, Room W374, Indianapolis, IN 46204 or by email to spacomment@fssa.in.gov. Correspondence should be identified in the following manner: COMMENT RE: IMMIGRANT ELIGIBILITY.