[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: 42CFR436.201]



[Page 184]

 

                         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 C_Options for Coverage as Categorically Needy

 

Sec.  436.201  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 or older);

    (2) Blind individuals (as defined in Sec.  436.530);

    (3) Disabled individuals (as defined in Sec.  436.541);

    (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) as 

specified in Sec.  436.510;

    (6) Pregnant women; and

    (7) Essential spouses specified under Sec.  436.230.

    (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.



[58 FR 4934, Jan. 19, 1993]



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

             Disabled Individuals, Including Pregnant Women