1. LawStack
  2. Title 42 - Public Health
  3. Chapter IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  4. Subchapter C - MEDICAL ASSISTANCE PROGRAMS
  5. Part 435 - ELIGIBILITY IN THE STATES, DISTRICT OF COLUMBIA, THE NORTHERN MARIANA ISLANDS, AND AMERICAN SAMOA
  6. Subpart C - Options for Coverage
  7. Topic - Options for Coverage of Families and Children and the Aged, Blind, and Disabled
  8. 42 CFR § 435.211
42 CFR § 435.211
Optional eligibility for individuals who would be eligible for cash assistance if they were not in medical institutions
June 11, 2020
CFR

(a) Basis. This section implements section 1902(a)(10)(A)(ii)(IV) of the Act.

(b) Eligibility. The agency may provide Medicaid to any group or groups of individuals specified in §435.201(a)(1) through (3) who are institutionalized in a title XIX reimbursable medical institution and who:

(1) Are ineligible for the SSI or an optional State supplement program in States that provide Medicaid to optional State supplement recipients, because of lower income standards used under the program to determine eligibility for institutionalized individuals; but

(2) Would be eligible for aid or assistance under SSI or an optional State supplement program (as specified in §435.232 or §435.234) if they were not institutionalized.

[81 FR 86452, Nov. 30, 2016]

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§ 435.210 Optional eligibility for individuals who meet the income and resource requirements of the cash assistance programs
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§ 435.212 Individuals who would be ineligible if they were not enrolled in an MCO or PCCM

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