[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: 42CFR435.232]



[Page 125-126]

 

                         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. 435.232  Individuals receiving only optional State supplements.



    (a) If the agency provides Medicaid to individuals receiving SSI 

under Sec. 435.120, it may provide Medicaid, in one or more of the 

following classifications, to individuals who receive only an optional 

State supplement that meets the conditions specified in paragraph (b) of 

this section and who would be eligible for SSI except for the level of 

their income.

    (1) All aged individuals.

    (2) All blind individuals.

    (3) All disabled individuals.

    (4) Only aged individuals in domiciliary facilities or other group 

living arrangements as defined under SSI.

    (5) Only blind individuals in domiciliary facilities or other group 

living arrangements as defined under SSI.

    (6) Only disabled individuals in domiciliary facilities or other 

group living arrangements as defined under SSI.

    (7) Individuals receiving a federally administered optional State 

supplement that meets the conditions specified in this section.

    (8) Individuals in additional classifications specified by the 

Secretary for federally administered supplementary payments under 20 CFR 

416.2020(d).

    (9) Reasonable groups of individuals, as specified by the State, 

receiving State-administered supplementary payments.

    (b) Payments under the optional supplement program must be--

    (1) Based on need and paid in cash on a regular basis;

    (2) Equal to the difference between the individual's countable 

income and the income standard used to determine eligibility for 

supplement. Countable income is income remaining after deductions 

required under SSI or, at State option, more liberal deductions are made 

(see Sec. 435.1006 for limitations on FFP in Medicaid expenditures for 

individuals receiving optional State supplements); and

    (3) Available to all individuals in each classification in paragraph 

(a) of



[[Page 126]]



this section and available on a statewide basis. However, the plan may 

provide for variations in the income standard by political subdivision 

according to cost-of-living differences.



[43 FR 45204, Sept. 29, 1978. Redesignated and amended at 58 FR 4928, 

Jan. 19, 1993]