{"data":{"id":"us/42-cfr-435.212","jurisdiction":"us","citation":"42 CFR 435.212","heading":"Individuals who would be ineligible if they were not enrolled in an MCO or PCCM.","body":"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—\n(a) For a period specified by the agency, ending no later than 6 months from the date of enrollment; and\n(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.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 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"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"e4ee551b3602a8b8e2516850996be0a4efaabea63e2444e2efe13eb984fe6743","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-435.211","next":"us/42-cfr-435.213"},"notice":"GroundRules: Original legal text. Not legal advice."}