Changes to Medicaid Policy Upcoming
Update: Aug 18-Sep 4, 2026
The Michigan Department of Health and Human Services recently sent out a Michigan Medicaid Policy bulletin reminding Medicaid providers of the upcoming policy changes. In compliance with Section 71109 of H.R. 1, commonly referred to as “The One Big Beautiful Bill Act”, beginning October 1 only legal permanent residents, Cuban and Haitian entrants, and Compacts of Free Association (COFA) migrants will be able to receive full Medicaid coverage. Certain individuals will still need to meet the five-year waiting period for full coverage. Anyone who falls under a different immigration status will qualify for emergency services only (ESO).
Due to Michigan providing coverage under section 214 of the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIRPA), pregnant individuals and children under the age of 21 who are legal residents will not have their coverage affected by H.R. 1.