Amendment to Medicaid State Plan – Section 71109 WFTCA – Non-citizen coverage

The Alaska Department of Health is proposing a State Plan Amendment (SPA) to align Alaska’s Medicaid eligibility rules with the federal Working Families Tax Cut Act (WFTCA) Section 71109, which restricts federal Medicaid matching funds for non‑citizens to specific immigration categories. The amendment will remove coverage categories that no longer qualify for federal funding, while preserving benefits for U.S. citizens, nationals, and eligible non‑citizens. A public comment period is open until 5 PM on October 1, 2026. Interested parties may submit comments via email or mail. • Affects Medicaid eligibility for non‑citizen populations in Alaska. • Implements federal requirements effective October 1, 2026. • No change to services for U.S. citizens or eligible non‑citizens. • Public comment deadline: October 1, 2026 (5 PM). • Primary contact: Christal Hays (DOH Commissioner’s Office).