 |
Code of Federal Regulations (Last Updated: November 8, 2024) |
 |
Title 42 - Public Health |
|
Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
|
SubChapter C - Medical Assistance Programs |
|
Part 435 - Eligibility in the States, District of Columbia, the Northern Mariana Islands, and American Samoa |
|
Subpart C - Options for Coverage |
|
Options for Coverage of Families and Children and the Aged, Blind, and Disabled |
§ 435.212 - Individuals who would be ineligible if they were not enrolled in an MCO or PCCM.
Latest version.
-
§ 435.212 Individuals who would be ineligible if they were not enrolled in an MCO or PCCM.
The State agency may provide that a beneficiary who is enrolled in an MCO or PCCM and who becomes ineligible for Medicaid is considered to continue to be eligible -
(a) For a period specified by the agency, ending no later than 6 months from the date of enrollment; and
(b) Except for family planning services (which the beneficiary may obtain from any qualified provider) only for services furnished to him or her as an MCO enrollee.
[56 FR 8849, Mar. 1, 1991, as amended at 67 FR 41095, June 14, 2002]