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Changes to Medicaid for Certain Non-citizens

New federal rules changed Medicaid eligibility for some non‑citizens. These changes took effect October 1, 2026.

Depending on your immigration status, you may qualify for full Medicaid coverage or Emergency Services Only (ESO) coverage.

 

Who qualifies for full coverage?

The following immigration statuses qualify for full Medicaid coverage, if all other eligibility requirements are met:

  • Lawful permanent residents (LPRs) who have met or are exempt from the 5-year bar,
  • Cuban/Haitian entrants,
  • Compacts of Free Association (COFA) migrants.

Most pregnant individuals and children under the age of 21 who lawfully reside in Michigan also qualify for full coverage.


Who qualifies for Emergency Services Only (ESO) coverage?

Individuals whose immigration statuses do not fall within one of the categories above may qualify for Emergency Services Only (ESO) coverage.

Emergency Services Only coverage includes treatment for emergency medical conditions. An emergency medical condition is one with severe symptoms that require immediate medical attention to prevent serious harm to health.

Emergency Services Only coverage does NOT cover:

  • Routine doctor visits
  • Preventive care
  • Ongoing treatment for chronic conditions
  • Most prescription medications
  • Non-emergency procedures

  
How will MDHHS determine my eligibility?

MDHHS uses existing data sources to verify individuals’ immigration status whenever possible.

If individuals have documents or information related to their immigration status, they should upload them to MI Bridges or work directly with their assigned case worker to provide any updates.


What does this mean for others in my household?

Eligibility is determined separately for each person in your home.


How do I know if my coverage changed?

If your coverage changed, you should have received a written notice by mail.

The notice explains:

  • Changes to your coverage.
  • Details about your new coverage.
  • How to appeal the decision if the notice indicates you are no longer eligible for coverage.

A copy of this notice can also be found in your MI Bridges account.


What do I need to do now?

  • Keep your contact information updated in MI Bridges so you don't miss important notices.
  • Watch your mail and respond quickly to Medicaid renewal packets, letters from your health plan, or local county Medicaid office.
     

 
Did you receive a letter asking for updated immigration documents?

MDHHS sent a letter to individuals whose Medicaid coverage changed because of the federal immigration eligibility rules that took effect Oct. 1, 2026.

The letter explains the new eligibility rules and how to submit updated immigration documents to help MDHHS determine whether you may still qualify for full Medicaid coverage.

 

Important Information

This information is current as of October 26, 2026. Federal and state laws, regulations, and policy guidance may change, which could affect the information provided. Updates will be made as additional guidance becomes available.

For the most up-to-date information, please visit this webpage regularly, as details may change based on federal guidance. To ensure you receive important notices about your coverage, please make sure your mailing address is current.