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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 435 - Eligibility in the States, District of Columbia, the Northern Mariana Islands, and American Samoa |
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Subpart J - Eligibility in the States and District of Columbia |
| § 435.900 - Scope. |
| Redeterminations of Medicaid Eligibility |
| § 435.916 - Regularly scheduled renewals of Medicaid eligibility. |
| § 435.917 - Notice of agency's decision concerning eligibility, benefits, or services. |
| § 435.918 - Use of electronic notices. |
| § 435.919 - Changes in circumstances. |
| § 435.920 - Verification of SSNs. |
| § 435.923 - Authorized representatives. |
| § 435.926 - Continuous eligibility for children. |
| § 435.927 - Requirements for States to submit certain data on redeterminations. |
| § 435.928 - Reduction in FMAP for failure to submit certain data. |
| Determination of Medicaid Eligibility |
| § 435.911 - Determination of eligibility. |
| § 435.912 - Timely determination and redetermination of eligibility. |
| § 435.913 - Notice of agency's decision concerning eligibility. |
| § 435.914 - Case documentation. |
| § 435.915 - Effective date. |
| Income and Eligibility Verification Requirements |
| § 435.940 - Basis and scope. |
| § 435.945 - General requirements. |
| § 435.948 - Verifying financial information. |
| § 435.949 - Verification of information through an electronic service. |
| § 435.952 - Use of information and requests of additional information from individuals. |
| § 435.953 - Identifying items of information to use. |
| § 435.955 - Additional requirements regarding information released by a Federal agency. |
| § 435.956 - Verification of other non-financial information. |
| § 435.960 - Standardized formats for furnishing and obtaining information to verifying income and eligibility. |
| § 435.965 - Delay of effective date. |
| Applications |
| § 435.905 - Availability and accessibility of program information. |
| § 435.906 - Opportunity to apply. |
| § 435.907 - Application. |
| § 435.908 - Assistance with application and renewal. |
| § 435.909 - Automatic entitlement to Medicaid following a determination of eligibility under other programs. |
| § 435.910 - Use of social security number. |
| General Methods of Administration |
| § 435.901 - Consistency with objectives and statutes. |
| § 435.902 - Simplicity of administration. |
| § 435.903 - Adherence of local agencies to State plan requirements. |
| § 435.904 - Establishment of outstation locations to process applications for certain low-income eligibility groups. |
| Furnishing Medicaid |
| § 435.930 - Furnishing Medicaid. |