§ 435.211 - Optional eligibility for individuals who would be eligible for cash assistance if they were not in medical institutions.

§ 435.211 Individuals Optional eligibility for individuals who would be eligible for cash assistance if they were not in medical institutions.

Cross Reference

Link to an amendment published at 81 FR 86452, Nov. 30, 2016.

(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

institutions

institution and who:

(

a

1) Are ineligible for the

cash assistance program appropriate for their status (that is, AFDC or

SSI

,

or an optional State

supplements

supplement program in States that provide Medicaid to optional State supplement

beneficiaries)

recipients, because of lower income standards used under the program to determine eligibility for institutionalized individuals; but

(

b

2) Would be eligible for aid or assistance under

the State's approved AFDC plan,

SSI

,

or an optional State supplement program (as specified in

§§

§ 435.232

and

or § 435.234) if they were not institutionalized.

[58 81 FR 492786452, JanNov. 1930, 19932016]