MedicaidAdministrativeMedium impact
MMP 25-18: Community Spouse Health Insurance Expenses
Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Summary
Michigan Medicaid will no longer deduct Medicare Part B premiums as a community spouse budget income expense starting July 1, 2025. This Medicare Part B premium is now included in the federal Minimum Monthly Needs Allowance standard calculations for SSI-Related Medicaid Extended Care eligibility.
Action Required
Before July 1, 2025: Billing and eligibility verification staff should note that Michigan Medicaid patients with community spouses will have different income calculations for Extended Care Program eligibility. Update verification procedures to account for the new Medicare Part B premium treatment in community spouse budgets. Contact Provider Support at ProviderSupport@michigan.gov or 800-292-2550 with specific eligibility questions.