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Medicaid Eligibility Rules

The rules governing eligibility for Medicaid, including the differences between MAGI and non-MAGI methodologies.

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Jan 17, 2026
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Which states use 209(b) rules or have adopted MAGI‑like methodologies for non‑MAGI Medicaid groups?

Most non‑MAGI Medicaid eligibility still relies on SSI-based methodologies, but federal guidance allows states to either continue older SSI/AFDC‑era rules, elect a MAGI‑like methodology for non‑MAGI g...

Jan 17, 2026

Which states have formally submitted state plan amendments electing MAGI‑like methodologies for non‑MAGI Medicaid groups?

States may elect to apply "MAGI‑like" financial methodologies to non‑MAGI Medicaid eligibility groups by submitting State Plan Amendments (SPAs), but the documents provided here explain the option and...