|
Section 435.2
|
Basis |
|
Section 435.3
|
Definitions and use of terms |
|
Section 435.4
|
State plan requirements |
|
Section 435.10
|
Scope |
|
Section 435.100
|
Parents and other caretaker relatives |
|
Section 435.110
|
Families terminated from AFDC because of increased earnings or hours of employment |
|
Section 435.112
|
Individuals who are ineligible for AFDC because of requirements that do not apply under title XIX of the Act |
|
Section 435.113
|
Individuals who would be eligible for AFDC except for increased OASDI income under Pub |
|
Section 435.114
|
Individuals deemed to be receiving AFDC |
|
Section 435.115
|
Pregnant women |
|
Section 435.116
|
Newborn children |
|
Section 435.117
|
Infants and children under age 19 |
|
Section 435.118
|
Coverage for individuals age 19 or older and under age 65 at or below 133 percent FPL |
|
Section 435.119
|
Individuals receiving SSI |
|
Section 435.120
|
Individuals in States using more restrictive requirements for Medicaid than the SSI requirements |
|
Section 435.121
|
Individuals who are ineligible for SSI or optional State supplements because of requirements that do not apply under |
|
Section 435.122
|
Individuals receiving mandatory State supplements |
|
Section 435.130
|
Individuals eligible as essential spouses in December 1973 |
|
Section 435.131
|
Institutionalized individuals who were eligible in December 1973 |
|
Section 435.132
|
Blind and disabled individuals eligible in December 1973 |
|
Section 435.133
|
Individuals who would be eligible except for the increase in OASDI benefits under Pub |
|
Section 435.134
|
Individuals who become ineligible for cash assistance as a result of OASDI cost-of-living increases received after April 1977 |
|
Section 435.135
|
State agency implementation requirements for one-time notice and annual review system |
|
Section 435.136
|
Disabled widows and widowers who would be eligible for SSI except for the increase in disability benefits resulting from |
|
Section 435.137
|
Disabled widows and widowers aged 60 through 64 who would be eligible for SSI except for early receipt of social security |
|
Section 435.138
|
Coverage for certain aliens |
|
Section 435.139
|
Children for whom adoption assistance or foster care maintenance payments are made |
|
Section 435.145
|
Pregnant women eligible for extended coverage |
|
Section 435.170
|
Scope |
|
Section 435.200
|
Individuals included in optional groups |
|
Section 435.201
|
Individuals who meet the income and resource requirements of the cash assistance programs |
|
Section 435.210
|
Individuals who would be eligible for cash assistance if they were not in medical institutions |
|
Section 435.211
|
Individuals who would be ineligible if they were not enrolled in an MCO or PCCM |
|
Section 435.212
|
Individuals receiving home and community-based services |
|
Section 435.217
|
Individuals with MAGI-based income above 133 percent FPL |
|
Section 435.218
|
Individuals receiving State plan home and community-based services |
|
Section 435.219
|
Individuals who would meet the income and resource requirements under AFDC if child care costs were paid from earnings |
|
Section 435.220
|
Individuals under age 21 who meet the income and resource requirements of AFDC |
|
Section 435.222
|
Individuals who would be eligible for AFDC if coverage under the State's AFDC plan were as broad as allowed under title IV-A |
|
Section 435.223
|
Individuals under age 19 who would be eligible for Medicaid if they were in a medical institution |
|
Section 435.225
|
Individuals under age 21 who are under State adoption assistance agreements |
|
Section 435.227
|
Optional targeted low-income children |
|
Section 435.229
|
Aged, blind, and disabled individuals in States that use more restrictive requirements for Medicaid than SSI requirements: |
|
Section 435.230
|
Individuals receiving only optional State supplements |
|
Section 435.232
|
Individuals receiving only optional State supplements in States using more restrictive eligibility requirements than SSI and |
|
Section 435.234
|
Individuals in institutions who are eligible under a special income level |
|
Section 435.236
|
Scope |
|
Section 435.300
|
General rules |
|
Section 435.301
|
Medically needy coverage of individuals under age 21 |
|
Section 435.308
|
Medically needy coverage of specified relatives |
|
Section 435.310
|
Medically needy coverage of the aged in States that cover individuals receiving SSI |
|
Section 435.320
|
Medically needy coverage of the blind in States that cover individuals receiving SSI |
|
Section 435.322
|
Medically needy coverage of the disabled in States that cover individuals receiving SSI |
|
Section 435.324
|
Individuals who would be ineligible if they were not enrolled in an MCO or PCCM |
|
Section 435.326
|
Medically needy coverage of the aged, blind, and disabled in States using more restrictive eligibility requirements |
|
Section 435.330
|
Protected medically needy coverage for blind and disabled individuals eligible in December 1973 |
|
Section 435.340
|
Coverage for certain aliens |
|
Section 435.350
|
Scope |
|
Section 435.400
|
General rules |
|
Section 435.401
|
State residence |
|
Section 435.403
|
Applicant's choice of category |
|
Section 435.404
|
Citizenship and alienage |
|
Section 435.406
|
Types of acceptable documentary evidence of citizenship |
|
Section 435.407
|
Scope |
|
Section 435.500
|
Determination of dependency |
|
Section 435.510
|
Age requirements for the aged |
|
Section 435.520
|
Determination of age |
|
Section 435.522
|
Definition of blindness |
|
Section 435.530
|
Determinations of blindness |
|
Section 435.531
|
Definition of disability |
|
Section 435.540
|
Determinations of disability |
|
Section 435.541
|
Scope |
|
Section 435.600
|
Application of financial eligibility methodologies |
|
Section 435.601
|
Financial responsibility of relatives and other individuals |
|
Section 435.602
|
Application of modified adjusted gross income (MAGI) |
|
Section 435.603
|
Applications for other benefits |
|
Section 435.608
|
Assignment of rights to benefits |
|
Section 435.610
|
Individuals in institutions who are eligible under a special income level |
|
Section 435.622
|
General requirements for determining income eligibility in States using more restrictive requirements for Medicaid than SSI |
|
Section 435.631
|
Protected Medicaid eligibility for individuals eligible in December 1973 |
|
Section 435.640
|
Scope |
|
Section 435.700
|
Post-eligibility treatment of income of institutionalized individuals in SSI States: Application of patient income to the cost of |
|
Section 435.725
|
Post-eligibility treatment of income of individuals receiving home and community-based services furnished under a waiver: |
|
Section 435.726
|
Post-eligibility treatment of income of institutionalized individuals in States using more restrictive requirements than SSI: |
|
Section 435.733
|
Post-eligibility treatment of income and resources of individuals receiving home and community-based services furnished |
|
Section 435.735
|
Scope |
|
Section 435.800
|
Medically needy income standard: General requirements |
|
Section 435.811
|
Medically needy income standard: State plan requirements |
|
Section 435.814
|
Income eligibility |
|
Section 435.831
|
Post-eligibility treatment of income of institutionalized individuals: Application of patient income to the cost of care |
|
Section 435.832
|
Medically needy resource standard: General requirements |
|
Section 435.840
|
Medically needy resource standard: State plan requirements |
|
Section 435.843
|
Medically needy resource eligibility |
|
Section 435.845
|
Scope |
|
Section 435.900
|
Consistency with objectives and statutes |
|
Section 435.901
|
Simplicity of administration |
|
Section 435.902
|
Adherence of local agencies to State plan requirements |
|
Section 435.903
|
Establishment of outstation locations to process applications for certain low-income eligibility groups |
|
Section 435.904
|
Availability of program information |
|
Section 435.905
|
Opportunity to apply |
|
Section 435.906
|
Application |
|
Section 435.907
|
Assistance with application and renewal |
|
Section 435.908
|
Automatic entitlement to Medicaid following a determination of eligibility under other programs |
|
Section 435.909
|
Use of social security number |
|
Section 435.910
|
Determination of eligibility |
|
Section 435.911
|
Timely determination of eligibility |
|
Section 435.912
|
Notice of agency's decision concerning eligibility |
|
Section 435.913
|
Case documentation |
|
Section 435.914
|
Effective date |
|
Section 435.915
|
Periodic renewal of Medicaid eligibility |
|
Section 435.916
|
Use of electronic notices |
|
Section 435.918
|
Timely and adequate notice concerning adverse actions |
|
Section 435.919
|
Verification of SSNs |
|
Section 435.920
|
Authorized representatives |
|
Section 435.923
|
Furnishing Medicaid |
|
Section 435.930
|
Basis and scope |
|
Section 435.940
|
General requirements |
|
Section 435.945
|
Verifying financial information |
|
Section 435.948
|
Verification of information through an electronic service |
|
Section 435.949
|
Use of information and requests of additional information from individuals |
|
Section 435.952
|
Verification of other non-financial information |
|
Section 435.956
|
Standardized formats for furnishing and obtaining information to verifying income and eligibility |
|
Section 435.960
|
Delay of effective date |
|
Section 435.965
|
Scope |
|
Section 435.1000
|
FFP for administration |
|
Section 435.1001
|
FFP for services |
|
Section 435.1002
|
FFP for redeterminations |
|
Section 435.1003
|
Beneficiaries overcoming certain conditions of eligibility |
|
Section 435.1004
|
Beneficiaries in institutions eligible under a special income standard |
|
Section 435.1005
|
Beneficiaries of optional State supplements only |
|
Section 435.1006
|
Categorically needy, medically needy, and qualified Medicare beneficiaries |
|
Section 435.1007
|
FFP in expenditures for medical assistance for individuals who have declared United States citizenship or |
|
Section 435.1008
|
Institutionalized individuals |
|
Section 435.1009
|
Definitions relating to institutional status |
|
Section 435.1010
|
Requirement for mandatory State supplements |
|
Section 435.1011
|
Requirement for maintenance of optional State supplement expenditures |
|
Section 435.1012
|
FFP for premium assistance for plans in the individual market |
|
Section 435.1015
|
Basis and scope |
|
Section 435.1100
|
Definitions related to presumptive eligibility for children |
|
Section 435.1101
|
Children covered under presumptive eligibility |
|
Section 435.1102
|
Presumptive eligibility for other individuals |
|
Section 435.1103
|
Presumptive eligibility determined by hospitals |
|
Section 435.1110
|
Medicaid agency responsibilities |
|
Section 435.1200
|
Alignment with exchange initial open enrollment period |
|
Section 435.1205
|
Purpose and applicability |