[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: 42CFR436.212]



[Page 185]

 

                         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.  436.212  Individuals who would be eligible for cash assistance 



if the State plan for OAA, AFDC, AB, APTD, or AABD were as broad as 

allowed under the Act.



    (a) The agency may provide Medicaid to any group or groups of 

individuals specified under Sec.  436.201(a) who:

    (1) Would be eligible for OAA, AFDC, AB, APTD, or AABD if the 

State's plan under those programs included individuals whose coverage 

under title I, IV-A, X, XIV, or XVI of the Act is optional (for example, 

the agency may provide Medicaid to individuals who are 18 years of age 

and who are attending secondary school full-time and are expected to 

complete their education before age 19, even though the State's AFDC 

plan does not include them); or

    (2) Would qualify for OAA, AFDC, AB, APTD, or AABD if the State's 

plan under those programs did not contain eligibility requirements more 

restrictive than, or in addition to, those required under the 

appropriate title of the Act. (For example, the agency may provide 

Medicaid to individuals who would meet the Federal definition of 

disability, 45 CFR 233.80, but who do not meet the State's more 

restrictive definitions.)

    (b) The agency may cover one or more optional groups under any of 

the titles of the Act without covering all such groups.



[43 FR 45218, Sept. 29, 1978, as amended at 45 FR 24887, Apr. 11, 1980; 

46 FR 47990, Sept. 30, 1981; 58 FR 4935, Jan. 19, 1993]