StacksVerified U.S. regulatory reference

42 CFR §435.212

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
The State agency may provide that a beneficiary who is enrolled in an MCO or PCCM and who becomes ineligible for Medicaid is considered to continue to be eligible—
  1. (a)For a period specified by the agency, ending no later than 6 months from the date of enrollment; and
  2. (b)Except for family planning services (which the beneficiary may obtain from any qualified provider) only for services furnished to him or her as an MCO enrollee.