MedicaidAdministrativeLow impact
MMP 25-52: Group Composition for Supplemental Security Income (SSI)-Related Medicaid Categories
Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Michigan Medicaid is updating group composition policies for married couples applying for Home and Community-Based Services (HCBS) waiver programs. The changes clarify eligibility determination when one spouse applies for HCBS waiver coverage while the other spouse is not enrolled in or applying for Medicaid under an HCBS waiver program.
Action Required
Before January 1, 2026: Billing team should review updated eligibility verification procedures for married couples where one spouse has HCBS waiver coverage and the other does not. Monitor the Michigan Bridges Eligibility Manual for updated group composition guidelines when they are incorporated.