42 CFR Part 436
PART 436—ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS
- PART 436—ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS
- Chapter IV—Centers for Medicare & Medicaid Services, Department of Health and Human Services › Subchapter C—Medical Assistance Programs
- 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.
- 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.
- 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.
- §§ 436.604-436.608 [Reserved]
- § 436.610 Assignment of rights to benefits.
- Subpart H [Reserved]
- 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.
- 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.
- § 436.1004 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.
- 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.
Feedback