GroundRules
Browse Federal regulations
Read the original sections, or search by topic.
- 42 CFR 436.200 · Scope.
- 42 CFR 436.201 · Individuals included in optional groups.
- 42 CFR 436.210 · Individuals who meet the income and resource requirements of the cash assistance programs.
- 42 CFR 436.211 · Individuals who would be eligible for cash assistance if they were not in medical institutions.
- 42 CFR 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.
- 42 CFR 436.217 · Individuals receiving home and community-based services.
- 42 CFR 436.219 · Individuals receiving State plan home and community-based services.
- 42 CFR 436.220 · Individuals who would meet the income and resource requirements under AFDC if child care costs were paid from earnings.
- 42 CFR 436.222 · Individuals under age 21 who meet the income and resource requirements of AFDC.
- 42 CFR 436.224 · Individuals under age 21 who are under State adoption assistance agreements.
- 42 CFR 436.229 · Optional targeted low-income children.
- 42 CFR 436.230 · Essential spouses of aged, blind, or disabled individuals receiving cash assistance.
- 42 CFR 436.300 · Scope.
- 42 CFR 436.301 · General rules.
- 42 CFR 436.308 · Medically needy coverage of individuals under age 21.
- 42 CFR 436.310 · Medically needy coverage of specified relatives.
- 42 CFR 436.320 · Medically needy coverage of the aged.
- 42 CFR 436.321 · Medically needy coverage of the blind.
- 42 CFR 436.322 · Medically needy coverage of the disabled.
- 42 CFR 436.330 · Coverage for certain aliens.
- 42 CFR 436.400 · Scope.
- 42 CFR 436.401 · General rules.
- 42 CFR 436.402 · [Reserved]
- 42 CFR 436.403 · State residence.
- 42 CFR 436.404 · Applicant's choice of category.
- 42 CFR 436.406 · Citizenship and alienage.
- 42 CFR 436.407 · Types of acceptable documentary evidence of citizenship.
- 42 CFR 436.408 · [Reserved]
- 42 CFR 436.500 · Scope.
- 42 CFR 436.510 · Determination of dependency.
- 42 CFR 436.520 · Age requirements for the aged.
- 42 CFR 436.522 · Determination of age.
- 42 CFR 436.530 · Definition of blindness.
- 42 CFR 436.531 · Determination of blindness.
- 42 CFR 436.540 · Definition of disability.
- 42 CFR 436.541 · Determination of disability.
- 42 CFR 436.600 · Scope.
- 42 CFR 436.601 · Application of financial eligibility methodologies.
- 42 CFR 436.602 · Financial responsibility of relatives and other individuals.
- 42 CFR 436.604-436.608 · §§ 436.604-436.608 [Reserved]
- 42 CFR 436.610 · Assignment of rights to benefits.
- 42 CFR 436.800 · Scope.
- 42 CFR 436.811 · Medically needy income standard: General requirements.
- 42 CFR 436.814 · Medically needy income standard: State plan requirements.
- 42 CFR 436.831 · Income eligibility.
- 42 CFR 436.832 · Post-eligibility treatment of income of institutionalized individuals: Application of patient income to the cost of care.
- 42 CFR 436.840 · Medically needy resource standard: General requirements.
- 42 CFR 436.843 · Medically needy resource standard: State plan requirements.
- 42 CFR 436.845 · Medically needy resource eligibility.
- 42 CFR 436.900 · Scope.
- 42 CFR 436.901 · General requirements.
- 42 CFR 436.909 · Automatic entitlement to Medicaid following a determination of eligibility under other programs.
- 42 CFR 436.1000 · Scope.
- 42 CFR 436.1001 · FFP for administration.
- 42 CFR 436.1002 · FFP for services.
- 42 CFR 436.1003 · beneficiaries overcoming certain conditions of eligibility.
- 42 CFR 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.
- 42 CFR 436.1005 · Institutionalized individuals.
- 42 CFR 436.1006 · Definitions relating to institutional status.
- 42 CFR 436.1100 · Basis and scope.
- 42 CFR 436.1101 · Definitions related to presumptive eligibility period for children.
- 42 CFR 436.1102 · General rules.
- 42 CFR 437.1 · Basis, scope, purpose, and applicability.
- 42 CFR 437.5 · Definitions.
- 42 CFR 437.10 · Child, Adult, and Health Home Core Sets.
- 42 CFR 437.15 · Annual reporting on the Child, Adult, and Health Home Core Sets.
- 42 CFR 437.20 · State plan requirements.
- 42 CFR 438.1 · Basis and scope.
- 42 CFR 438.2 · Definitions.
- 42 CFR 438.3 · Standard contract requirements.
- 42 CFR 438.4 · Actuarial soundness.
- 42 CFR 438.5 · Rate development standards.
- 42 CFR 438.6 · Special contract provisions related to payment.
- 42 CFR 438.7 · Rate certification submission.
- 42 CFR 438.8 · Medical loss ratio (MLR) standards.
- 42 CFR 438.9 · Provisions that apply to non-emergency medical transportation PAHPs.
- 42 CFR 438.10 · Information requirements.
- 42 CFR 438.12 · Provider discrimination prohibited.
- 42 CFR 438.14 · Requirements that apply to MCO, PIHP, PAHP, PCCM, and PCCM entity contracts involving Indians, Indian health care providers (IHCPs), and Indian managed care entities (IMCEs).
- 42 CFR 438.16 · In lieu of services and settings (ILOS) requirements.
- 42 CFR 438.50 · State Plan requirements.
- 42 CFR 438.52 · Choice of MCOs, PIHPs, PAHPs, PCCMs, and PCCM entities.
- 42 CFR 438.54 · Managed care enrollment.
- 42 CFR 438.56 · Disenrollment: Requirements and limitations.
- 42 CFR 438.58 · Conflict of interest safeguards.
- 42 CFR 438.60 · Prohibition of additional payments for services covered under MCO, PIHP or PAHP contracts.
- 42 CFR 438.62 · Continued services to enrollees.
- 42 CFR 438.66 · State monitoring requirements.
- 42 CFR 438.68 · Network adequacy standards.
- 42 CFR 438.70 · Stakeholder engagement when LTSS is delivered through a managed care program.
- 42 CFR 438.71 · Beneficiary support system.
- 42 CFR 438.72 · Additional requirements for long-term services and supports.
- 42 CFR 438.74 · State oversight of the minimum MLR requirement.
- 42 CFR 438.100 · Enrollee rights.
- 42 CFR 438.102 · Provider-enrollee communications.
- 42 CFR 438.104 · Marketing activities.
- 42 CFR 438.106 · Liability for payment.
- 42 CFR 438.108 · Cost sharing.
- 42 CFR 438.110 · Member advisory committee.
- 42 CFR 438.114 · Emergency and poststabilization services.