[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: 42CFR435.212]



[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. 435.212  Individuals who would be ineligible if they were not 

enrolled in an MCO or PCCM.



    The State agency may provide that a recipient who is enrolled in an 

MCO or PCCM and who becomes ineligible for Medicaid is considered to 

continue to be eligible--

    (a) For a period specified by the agency, ending no later than 6 

months from the date of enrollment; and

    (b) Except for family planning services (which the recipient may 

obtain from any qualified provider) only for services furnished to him 

or her as an MCO enrollee.



[56 FR 8849, Mar. 1, 1991, as amended at 67 FR 41095, June 14, 2002]