HHS — Medicaid Income Threshold Rule

Effective: November 1, 2026 (26 days from now)

26 days to compliance. 42 CFR §435.121 changes the Medicaid income threshold from 138% to 150% of the Federal Poverty Level. If your organization administers Medicaid-eligible services, your eligibility screening process must be updated before November 1. Penalty: $2,500 per violation (42 U.S.C. §1320a-7a).

The Rule

Agency: U.S. Department of Health and Human Services (HHS) / CMS

Rule: 42 CFR §435.121 — Medicaid Income Threshold Amendment

Published: Federal Register, September 28, 2026

Effective: November 1, 2026

Penalty: $2,500 per violation (42 U.S.C. §1320a-7a)

Who it affects: State Medicaid agencies, managed care organizations, community health centers, and any provider that screens patients for Medicaid eligibility.

What We Deliver (24 Hours)

$2,997 flat — Compliance Impact Brief (5–8 pages):

Plain-English summary of what changed (no legal jargon)
Exactly which processes in your organization are affected
Step-by-step: what to do before November 1 (with deadlines)
How this affects your current/pending grants (Medicaid-matched funds)
Penalty exposure calculation (based on your volume)
Source citations (Federal Register entry + CFR section)
PDF + editable DOCX

Read Our Sample

2 pages from a recent compliance impact brief (redacted)

Who This Is For

Community health centers that screen for Medicaid eligibility
Managed care organizations updating their eligibility systems
Nonprofits with Medicaid-matched grant funding that need to verify their match is still valid

Order

$2,997 — Compliance Impact Brief

Contact

Questions? Email: [email protected]