[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: 42CFR440.220]



[Page 248-249]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 440_SERVICES: GENERAL PROVISIONS--Table of Contents

 

      Subpart B_Requirements and Limits Applicable to All Services

 

Sec. 440.220  Required services for the medically needy.



    (a) A State plan that includes the medically needy must specify that 

the medically needy are provided, as a minimum, the following services:

    (1) Prenatal care and delivery services for pregnant women.

    (2) Ambulatory services, as defined in the State plan, for:

    (i) Individuals under age 18; and

    (ii) Groups of individuals entitled to institutional services.

    (3) Home health services (Sec. 440.70) to any individual entitled 

to skilled nursing facility services.

    (4) If the State plan includes services in an institution for mental 

diseases (Sec. 440.140 or Sec. 440.160) or in an intermediate care 

facility for the mentally retarded (Sec. 440.150(c)) for any group of 

medically needy, either of the following sets of services to each of the 

medically needy groups:

    (i) The services contained in Sec. Sec. 440.10 through 440.50 and 

(to the extent nurse-midwives are authorized to practice under State law 

or regulation) Sec. 440.165; or

    (ii) The services contained in any seven of the sections in 

Sec. Sec. 440.10 through 440.165.

    (5) For women who, while pregnant, applied for, were eligible as 

medically needy for, and received Medicaid services under the plan, 

services under the plan that are pregnancy-related (as defined in Sec. 

440.210(a)(2)(i) of this subpart) for an extended postpartum period. The 

postpartum period begins on the last day of pregnancy and extends 

through the end of the month in which the 60-day period following 

termination of pregnancy ends.

    (b) A State plan must specify that eligible aliens as defined in 

Sec. Sec. 435.406(a) and 436.406(a) of this subchapter will receive at 

least the services provided in paragraphs (a)(4) (i) and (ii) of this 

section.

    (c) A State plan must specify that aliens defined in Sec. Sec. 

435.406(b), 435.406(c),



[[Page 249]]



436.406(b) and 436.406(c) of this subchapter will only be provided the 

limited services specified in Sec. 440.255.



[56 FR 24011, May 28, 1991, as amended at 58 FR 4938, Jan. 19, 1993]