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Electronic Code of Federal Regulations

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e-CFR Data is current as of April 14, 2014

TITLE 42—Public Health

CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)

SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS

PART 436—ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS

rule

Subpart A—GENERAL PROVISIONS AND DEFINITIONS

§436.1
Purpose and applicability.
§436.2
Basis.
§436.3
Definitions and use of terms.
§436.10
State plan requirements.
rule

Subpart B—MANDATORY COVERAGE OF THE CATEGORICALLY NEEDY

§436.100
Scope.
§436.110
Individuals receiving cash assistance.
§436.111
Individuals who are not eligible for cash assistance because of a requirement not applicable under Medicaid.
§436.112
Individuals who would be eligible for cash assistance except for increased OASDI under Pub. L. 92-336 (July 1, 1972).
§436.114
Individuals deemed to be receiving AFDC.
§436.116
Families terminated from AFDC because of increased earnings or hours of employment.
§436.118
Children for whom adoption assistance or foster care maintenance payments are made.
§436.120
Qualified pregnant women and children who are not qualified family members.
§436.121
Qualified family members.
§436.122
Pregnant women eligible for extended coverage.
§436.124
Newborn children.
§436.128
Coverage for certain qualified aliens.
rule

Subpart C—OPTIONS FOR COVERAGE AS CATEGORICALLY NEEDY

§436.200
Scope.
§436.201
Individuals included in optional groups.

Options for Coverage of Families and Children and Aged, Blind, and Disabled Individuals, Including Pregnant Women

§436.210
Individuals who meet the income and resource requirements of the cash assistance programs.
§436.211
Individuals who would be eligible for cash assistance if they were not in medical institutions.
§436.212
Individuals who would be eligible for cash assistance if the State plan for OAA, AFDC, AB, APTD, or AABD were as broad as allowed under the Act.
§436.217
Individuals receiving home and community-based services.
§436.219
Individuals receiving State plan home and community-based services.
§436.220
Individuals who would meet the income and resource requirements under AFDC if child care costs were paid from earnings.
§436.222
Individuals under age 21 who meet the income and resource requirements of AFDC.
§436.224
Individuals under age 21 who are under State adoption assistance agreements.
§436.229
Optional targeted low-income children.

Options for Coverage of the Aged, Blind, and Disabled

§436.230
Essential spouses of aged, blind, or disabled individuals receiving cash assistance.
rule

Subpart D—OPTIONAL COVERAGE OF THE MEDICALLY NEEDY

§436.300
Scope.
§436.301
General rules.
§436.308
Medically needy coverage of individuals under age 21.
§436.310
Medically needy coverage of specified relatives.
§436.320
Medically needy coverage of the aged.
§436.321
Medically needy coverage of the blind.
§436.322
Medically needy coverage of the disabled.
§436.330
Coverage for certain aliens.
rule

Subpart E—GENERAL ELIGIBILITY REQUIREMENTS

§436.400
Scope.
§436.401
General rules.
§436.402
[Reserved]
§436.403
State residence.
§436.404
Applicant's choice of category.
§436.406
Citizenship and alienage.
§436.407
Types of acceptable documentary evidence of citizenship.
§436.408
[Reserved]
rule

Subpart F—CATEGORICAL REQUIREMENTS FOR MEDICAID ELIGIBILITY

§436.500
Scope.

Dependency

§436.510
Determination of dependency.

Age

§436.520
Age requirements for the aged.
§436.522
Determination of age.

Blindness

§436.530
Definition of blindness.
§436.531
Determination of blindness.

Disability

§436.540
Definition of disability.
§436.541
Determination of disability.
rule

Subpart G—GENERAL FINANCIAL ELIGIBILITY REQUIREMENTS AND OPTIONS

§436.600
Scope.
§436.601
Application of financial eligibility methodologies.
§436.602
Financial responsibility of relatives and other individuals.
§436.604
[Reserved]
§436.606
[Reserved]
§436.608
Applications for other benefits.
§436.610
Assignment of rights to benefits.
rule

Subpart H—[RESERVED]

rule

Subpart I—FINANCIAL REQUIREMENTS FOR THE MEDICALLY NEEDY

§436.800
Scope.

Medically Needy Income Standard

§436.811
Medically needy income standard: General requirements.
§436.814
Medically needy income standard: State plan requirements.

Medically Needy Income Eligibility and Liability for Payment of Medical Expenses

§436.831
Income eligibility.
§436.832
Post-eligibility treatment of income of institutionalized individuals: Application of patient income to the cost of care.

Medically Needy Resource Standard

§436.840
Medically needy resource standard: General requirements.
§436.843
Medically needy resource standard: State plan requirements.

Determining Eligibility on the Basis of Resources

§436.845
Medically needy resource eligibility.
rule

Subpart J—ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS

§436.900
Scope.
§436.901
General requirements.
§436.909
Automatic entitlement to Medicaid following a determination of eligibility under other programs.
rule

Subpart K—FEDERAL FINANCIAL PARTICIPATION (FFP)

§436.1000
Scope.

FFP for Expenditures for Determining Eligibility and Providing Services

§436.1001
FFP for administration.
§436.1002
FFP for services.
§436.1003
beneficiaries overcoming certain conditions of eligibility.
§436.1004
FFP in expenditures for medical assistance for individuals who have declared United States citizenship or nationality under section 1137(d) of the Act and with respect to whom the State has not documented citizenship and identity.
§436.1005
Institutionalized individuals.
§436.1006
Definitions relating to institutional status.
rule

Subpart L—OPTION FOR COVERAGE OF SPECIAL GROUPS

§436.1100
Basis and scope.

Presumptive Eligibility for Children

§436.1101
Definitions related to presumptive eligibility period for children.
§436.1102
General rules.


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