Title 42--Public Health
CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)
PART 435--ELIGIBILITY IN THE STATES, DISTRICT OF COLUMBIA, THE NORTHERN MARIANA ISLANDS, AND AMERICAN SAMOA
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| 435.2 |
Purpose and applicability. |
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| 435.3 |
Basis. |
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| 435.4 |
Definitions and use of terms. |
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| 435.10 |
State plan requirements. |
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| 435.100 |
Scope. |
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| 435.110 |
Individuals receiving aid to families with dependent children. |
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| 435.112 |
Families terminated from AFDC because of increased earnings or hours of employment. |
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| 435.113 |
Individuals who are ineligible for AFDC because of requirements that do not apply under title XIX of the Act. |
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| 435.114 |
Individuals who would be eligible for AFDC except for increased OASDI income under Pub. L. 92-336 (July 1, 1972). |
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| 435.115 |
Individuals deemed to be receiving AFDC. |
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| 435.116 |
Qualified pregnant women and children who are not qualified family members. |
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| 435.117 |
Newborn children. |
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| 435.119 |
Qualified family members. |
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| 435.120 |
Individuals receiving SSI. |
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| 435.121 |
Individuals in States using more restrictive requirements for Medicaid than the SSI requirements. |
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| 435.122 |
Individuals who are ineligible for SSI or optional State supplements because of requirements that do not apply under title XIX of the Act. |
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| 435.130 |
Individuals receiving mandatory State supplements. |
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| 435.131 |
Individuals eligible as essential spouses in December 1973. |
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| 435.132 |
Institutionalized individuals who were eligible in December 1973. |
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| 435.133 |
Blind and disabled individuals eligible in December 1973. |
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| 435.134 |
Individuals who would be eligible except for the increase in OASDI benefits under Pub. L. 92-336 (July 1, 1972). |
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| 435.135 |
Individuals who become ineligible for cash assistance as a result of OASDI cost-of-living increases received after April 1977. |
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| 435.136 |
State agency implementation requirements for one-time notice and annual review system. |
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| 435.137 |
Disabled widows and widowers who would be eligible for SSI except for the increase in disability benefits resulting from elimination of the reduction factor under Pub. L. 98-21. |
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| 435.138 |
Disabled widows and widowers aged 60 through 64 who would be eligible for SSI except for early receipt of social security benefits. |
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| 435.139 |
Coverage for certain aliens. |
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| 435.145 |
Children for whom adoption assistance or foster care maintenance payments are made. |
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| 435.170 |
Pregnant women eligible for extended coverage. |
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| 435.200 |
Scope. |
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| 435.201 |
Individuals included in optional groups. |
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| 435.210 |
Individuals who meet the income and resource requirements of the cash assistance programs. |
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| 435.211 |
Individuals who would be eligible for cash assistance if they were not in medical institutions. |
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| 435.212 |
Individuals who would be ineligible if they were not enrolled in an MCO or PCCM. |
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| 435.217 |
Individuals receiving home and community-based services. |
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| 435.220 |
Individuals who would meet the income and resource requirements under AFDC if child care costs were paid from earnings. |
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| 435.222 |
Individuals under age 21 who meet the income and resource requirements of AFDC. |
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| 435.223 |
Individuals who would be eligible for AFDC if coverage under the State's AFDC plan were as broad as allowed under title IV-A. |
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| 435.225 |
Individuals under age 19 who would be eligible for Medicaid if they were in a medical institution. |
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| 435.227 |
Individuals under age 21 who are under State adoption assistance agreements. |
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| 435.229 |
Optional targeted low-income children. |
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| 435.230 |
Aged, blind, and disabled individuals in States that use more restrictive requirements for Medicaid than SSI requirements: Optional coverage. |
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| 435.232 |
Individuals receiving only optional State supplements. |
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| 435.234 |
Individuals receiving only optional State supplements in States using more restrictive eligibility requirements than SSI and certain States using SSI criteria. |
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| 435.236 |
Individuals in institutions who are eligible under a special income level. |
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| 435.300 |
Scope. |
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| 435.301 |
General rules. |
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| 435.308 |
Medically needy coverage of individuals under age 21. |
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| 435.310 |
Medically needy coverage of specified relatives. |
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| 435.320 |
Medically needy coverage of the aged in States that cover individuals receiving SSI. |
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| 435.322 |
Medically needy coverage of the blind in States that cover individuals receiving SSI. |
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| 435.324 |
Medically needy coverage of the disabled in States that cover individuals receiving SSI. |
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| 435.326 |
Individuals who would be ineligible if they were not enrolled in an MCO or PCCM. |
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| 435.330 |
Medically needy coverage of the aged, blind, and disabled in States using more restrictive eligibility requirements for Medicaid than those used under SSI. |
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| 435.340 |
Protected medically needy coverage for blind and disabled individuals eligible in December 1973. |
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| 435.350 |
Coverage for certain aliens. |
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| 435.400 |
Scope. |
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| 435.401 |
General rules. |
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| 435.403 |
State residence. |
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| 435.404 |
Applicant's choice of category. |
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| 435.406 |
Citizenship and alienage. |
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| 435.408 |
Categories of aliens who are permanently residing in the United States under color of law. |
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| 435.500 |
Scope. |
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| 435.510 |
Determination of dependency. |
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| 435.520 |
Age requirements for the aged. |
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| 435.522 |
Determination of age. |
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| 435.530 |
Definition of blindness. |
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| 435.531 |
Determinations of blindness. |
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| 435.540 |
Definition of disability. |
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| 435.541 |
Determinations of disability. |
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| 435.600 |
Scope. |
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| 435.601 |
Application of financial eligibility methodologies. |
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| 435.602 |
Financial responsibility of relatives and other individuals. |
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| 435.608 |
Applications for other benefits. |
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| 435.610 |
Assignment of rights to benefits. |
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| 435.622 |
Individuals in institutions who are eligible under a special income level. |
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| 435.631 |
General requirements for determining income eligibility in States using more restrictive requirements for Medicaid than SSI. |
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| 435.640 |
Protected Medicaid eligibility for individuals eligible in December 1973. |
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| 435.700 |
Scope. |
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| 435.725 |
Post-eligibility treatment of income of institutionalized individuals in SSI States: Application of patient income to the cost of care. |
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| 435.726 |
Post-eligibility treatment of income of individuals receiving home and community-based services furnished under a waiver: Application of patient income to the cost of care. |
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| 435.733 |
Post-eligibility treatment of income of institutionalized individuals in States using more restrictive requirements than SSI: Application of patient income to the cost of care. |
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| 435.735 |
Post-eligibility treatment of income and resources of individuals receiving home and community-based services furnished under a waiver: Application of patient income to the cost of care. |
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| 435.800 |
Scope. |
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| 435.811 |
Medically needy income standard: General requirements. |
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| 435.814 |
Medically needy income standard: State plan requirements. |
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| 435.831 |
Income eligibility. |
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| 435.832 |
Post-eligibility treatment of income of institutionalized individuals: Application of patient income to the cost of care. |
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| 435.840 |
Medically needy resource standard: General requirements. |
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| 435.843 |
Medically needy resource standard: State plan requirements. |
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| 435.845 |
Medically needy resource eligibility. |
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| 435.900 |
Scope. |
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| 435.901 |
Consistency with objectives and statutes. |
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| 435.902 |
Simplicity of administration. |
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| 435.903 |
Adherence of local agencies to State plan requirements. |
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| 435.904 |
Establishment of outstation locations to process applications for certain low-income eligibility groups. |
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| 435.905 |
Availability of program information. |
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| 435.906 |
Opportunity to apply. |
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| 435.907 |
Written application. |
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| 435.908 |
Assistance with application. |
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| 435.909 |
Automatic entitlement to Medicaid following a determination of eligibility under other programs. |
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| 435.910 |
Use of social security number. |
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| 435.911 |
Timely determination of eligibility. |
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| 435.912 |
Notice of agency's decision concerning eligibility. |
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| 435.913 |
Case documentation. |
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| 435.914 |
Effective date. |
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| 435.916 |
Periodic redeterminations of Medicaid eligibility. |
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| 435.919 |
Timely and adequate notice concerning adverse actions. |
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| 435.920 |
Verification of SSNs. |
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| 435.930 |
Furnishing Medicaid. |
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| 435.940 |
Basis and scope. |
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| 435.945 |
General requirements. |
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| 435.948 |
Requesting information. |
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| 435.952 |
Use of information. |
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| 435.953 |
Identifying items of information to use. |
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| 435.955 |
Additional requirements regarding information released by a Federal agency. |
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| 435.960 |
Standardized formats for furnishing and obtaining information to verifying income and eligibility. |
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| 435.965 |
Delay of effective date. |
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| 435.1000 |
Scope. |
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| 435.1001 |
FFP for administration.
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| 435.1002 |
FFP for services.
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| 435.1003 |
FFP for redeterminations. |
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| 435.1004 |
Recipients overcoming certain conditions of eligibility. |
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| 435.1005 |
Recipients in institutions eligible under a special income standard. |
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| 435.1006 |
Recipients of optional State supplements only. |
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| 435.1007 |
Categorically needy, medically needy, and qualified Medicare beneficiaries.
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| 435.1008 |
Institutionalized individuals. |
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| 435.1009 |
Definitions relating to institutional status. |
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| 435.1010 |
Requirement for mandatory State supplements. |
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| 435.1011 |
Requirement for maintenance of optional State supplement expenditures. |
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| 435.1100 |
Basis and scope. |
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| 435.1101 |
Definitions related to presumptive eligibility for children. |
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| 435.1102 |
General rules. |