The following program policy instructions were updated on 10/01/2026.
Program Operations Manual System
NL 00601 TN 25 - Notification Policy and ProceduresSummary: This transmittal adds a new section that explains how Quick Response (QR) codes are used in SSA notices.SI 01715 TN 9 - Medicaid and the SSI ProgramSummary: To publish changes to Medicaid eligibility under P.L. 119-21, Section 71109 Alien Medicaid Eligibility. Edits to SI 01715.015 forthcoming.SI 01730 TN 26 - SSA Determinations of Medicaid EligibilitySummary: To announce changes passed with P.L. 119-21 Section 71109, Alien Medicaid Eligibility. Edits to SI 01730.005 and SI 01730.035 forthcoming.GN 02250 TN 83 - Waiver Provisions for Title II and Title XVI OverpaymentsSummary: The Commissioner has created of a new department within Risk and Quality (R&Q) called Governance and Performance (GAP). We are changing the designated reviewer for high dollar waiver approvals from CDPS/MOS to RQ. RQ will be responsible for reviewing and approving high dollar waiver approvals. Starting October 1, 2026, the high dollar waiver approval amounts that RQ will review and approve will change from $35,000 to $20,000 for Title XVI waiver approvals and from $75,000 to $20,000 for Title II waiver approvals.