[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

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

[CITE: 42CFR436.112]



[Page 181]

 

                         TITLE 42--PUBLIC HEALTH

 

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

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 436_ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS--

 

         Subpart B_Mandatory Coverage of the Categorically Needy

 

Sec.  436.112  Individuals who would be eligible for cash assistance 



except for increased OASDI under Pub. L. 92-336 (July 1, 1972).



    The agency must provide Medicaid to individuals who meet the 

following conditions:

    (a) In August 1972, the individual was entitled to OASDI and--

    (1) He was receiving cash assistance; or

    (2) He would have been eligible for cash assistance if he had 

applied, and the Medicaid plan covered this optional group; or

    (3) He would have been eligible for cash assistance if he were not 

in a medical institution or intermediate care facility, and the Medicaid 

plan covered this optional group.

    (b) The individual would currently be eligible for cash assistance 

except that the increase in OASDI under Pub. L. 92-336 raised his income 

over the limit allowed under the cash assistance program. This includes 

an individual who--

    (1) Meets all current requirements for cash assistance except for 

the requirement to file an application; or

    (2) Would meet all current requirements for cash assistance if he 

were not in a medical institution or intermediate care facility, and the 

Medicaid plan covers this optional group.