Health Benefits Eligibility and Enrollment Rules (HBEE)

The Health Benefits Eligibility and Enrollment (HBEE) rules provide the eligibility standards for Medicaid and other health care programs. Adopted and proposed HBEE rules can be found below.

HBEE Adopted Rules (by Part)

HBEE Part 1 - General Provisions and Definitions (*GCR 22-029 through 22-033 HBEE adopted rules (Parts 1, 2, 3, 5, 7) were filed with the Secretary of State on 12/13/2022 and are effective 1/1/2023)

HBEE Part 2 - Eligibility Standards (*GCR 22-029 through 22-033 HBEE adopted rules (Parts 1, 2, 3, 5, 7) were filed with the Secretary of State on 12/13/2022 and are effective 1/1/2023)

HBEE Part 3 - Nonfinancial Eligibility Requirements (*GCR 22-029 through 22-033 HBEE adopted rules (Parts 1, 2, 3, 5, 7) were filed with the Secretary of State on 12/13/2022 and are effective 1/1/2023)

HBEE Part 4 - Special Rules for Medicaid Coverage of Long-Term Care Services

HBEE Part 5 - Financial Methodologies (*GCR 22-029 through 22-033 HBEE adopted rules (Parts 1, 2, 3, 5, 7) were filed with the Secretary of State on 12/13/2022 and are effective 1/1/2023)

HBEE Part 6 - Small Employer Health-Benefits Program Rules

HBEE Part 7 - Eligibility-and-Enrollment Procedures (*GCR 22-029 through 22-033 HBEE adopted rules (Parts 1, 2, 3, 5, 7) were filed with the Secretary of State on 12/13/2022 and are effective 1/1/2023)

HBEE Part 8 - State Fair Hearings and Expedited Eligibility Appeals

HBEE Rules Parts 1 - 8 Combined (Effective 1/1/2023)

Proposed HBEE Rules

There are no current proposed rules for HBEE. The most recent HBEE rulemaking is described in GCR 22-029 through 22-033 (Parts 1, 2, 3, 5, and 7 effective 1/1/2023).