[Code of Federal Regulations]

[Title 42, Volume 3]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR435.201]



[Page 122]

 

                         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--Table of Contents

 

          Subpart C_Options for Coverage as Categorically Needy

 

Sec. 435.201  Individuals included in optional groups.



    (a) The agency may choose to cover as optional categorically needy 

any group or groups of the following individuals who are not receiving 

cash assistance and who meet the appropriate eligibility criteria for 

groups specified in the separate sections of this subpart:

    (1) Aged individuals (65 years of age of older);

    (2) Blind individuals (as defined in Sec. 435.530);

    (3) Disabled individuals (as defined in Sec. 435.541);

    (4) Individuals under age 21 (or, at State option, under age 20, 19, 

or 18) or reasonable classifications of these individuals;

    (5) Specified relatives under section 406(b)(1) of the Act who have 

in their care an individual who is determined to be dependent (or would, 

if needy, be dependent) as specified in Sec. 435.510; and

    (6) Pregnant women.

    (b) If the agency provides Medicaid to any individual in an optional 

group specified in paragraph (a) of this section, the agency must 

provide Medicaid to all individuals who apply and are found eligible to 

be members of that group.

    (c) States that elect to use more restrictive eligibility 

requirements for Medicaid than the SSI requirements for any group or 

groups of aged, blind, and disabled individuals under Sec. 435.121 must 

apply the specific requirements of Sec. 435.230 in establishing 

eligibility of these groups of individuals as optional categorically 

needy.



[58 FR 4927, Jan. 19, 1993]



 Options for Coverage of Families and Children and the Aged, Blind, and 

                                Disabled