GroundRules
42 CFR 435.553: Mandatory exceptions for certain applicable individuals.
Where this section sits in the code
- 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 F—Categorical Requirements for Eligibility
A State must deem an applicable individual to have demonstrated community engagement under § 435.552 for a month if—
(a) For part or all of that month, the individual was:
(1) Under the age of 19 years;
(2) Entitled to or enrolled for Medicare benefits under part A or enrolled for benefits under part B of title XVIII of the Act;
(3) Described in any mandatory coverage groups in subclauses (I) through (VII) of section 1902(a)(10)(A)(i) of the Act under the Medicaid State plan; or,
(4) A specified excluded individual as defined at § 435.554.
(b) At any point during the 3-month period ending on the first day of that month, the individual was an inmate of a public institution.
Collected 2026-08-27T02:26:11Z. Source file · JSON