The Health Benefits Eligibility and Enrollment (HBEE) rules provide the eligibility standards for Medicaid and other health care programs.
- HBEE Adopted Rules (by Part)
- HBEE Combined Rules Document (Parts 1 - 8)
- Temporary changes that impact HBEE rules and corresponding public notice in the Global Commitment Register (GCR)
- Proposed HBEE Rules
- Repealed (old) Medicaid Rules
HBEE Adopted Rules (by Part)
HBEE Part 1 - General Provisions and Definitions
HBEE Part 2 - Eligibility Standards
HBEE Part 3 - Nonfinancial Eligibility Requirements
HBEE Part 4 - Special Rules for Medicaid Coverage of Long-Term Care Services and Supports - Eligibility and Post-Eligibility
HBEE Part 5 - Financial Methodologies
HBEE Part 6 - Small Employer Health-Benefits Program Rules
HBEE Part 7 - Eligibility-and-Enrollment Procedures
HBEE Part 8 - State Fair Hearings and Expedited Eligibility Appeals
HBEE Rules Parts 1 - 8 Combined (effective 1/1/2025)
Temporary Changes that Impact HBEE Rules
- GCR 22-100: Temporary Adjustments to Premium Assistance under the American Rescue Plan Act
- Effective January 1, 2021 - December 31, 2025
- Affects the following parts of HBEE:
- Part 2, Section 12.03(a) Applicable tax filer
- Part 7, Section 60.07(b) Applicable percentage table for advanced premium tax credits
Proposed HBEE Rules
There are no proposed HBEE rule filings at this time. See GCR 24-075 to 24-077 for the last round of HBEE rulemaking.
Repealed Medicaid Rules
5300 VHAP - REPEALED (except retain 5321 - 5323)
4100 Medicaid - REPEALED effective 1/1/14 replaced with Health Benefits Eligibility and Enrollment