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Code of Federal Regulations (Last Updated: November 8, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter C - Medical Assistance Programs |
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Part 436 - Eligibility in Guam, Puerto Rico, and the Virgin Islands |
| 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. |
| 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. |
| 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. |
| 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. |
| 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] |
| Subpart F - Categorical Requirements for Medicaid Eligibility |
| § 436.500 - Scope. |
| Blindness |
| § 436.530 - Definition of blindness. |
| § 436.531 - Determination of blindness. |
| Dependency |
| § 436.510 - Determination of dependency. |
| Age |
| § 436.520 - Age requirements for the aged. |
| § 436.522 - Determination of age. |
| Disability |
| § 436.540 - Definition of disability. |
| § 436.541 - Determination of disability. |
| 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. |
| §§ 436.604--436.608 - [Reserved] |
| Subpart H - XXX |
| Subpart I - Financial Requirements for the Medically Needy |
| § 436.800 - Scope. |
| Determining Eligibility on the Basis of Resources |
| § 436.845 - Medically needy resource eligibility. |
| 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. |
| Medically Needy Income Standard |
| § 436.811 - Medically needy income standard: General requirements. |
| § 436.814 - Medically needy income standard: State plan requirements. |
| 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. |
| 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. |
| § 436.1005 - Institutionalized individuals. |
| § 436.1006 - Definitions relating to institutional status. |
| 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. |