42 C.F.R. PART 436--ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS
TITLE 42--Public Health
CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER C--MEDICAL ASSISTANCE PROGRAMS
PART 436--ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS
Subpart A--GENERAL PROVISIONS AND DEFINITIONS
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| Purpose and applicability.
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| Definitions and use of terms.
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Subpart B--MANDATORY COVERAGE OF THE CATEGORICALLY NEEDY
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| Individuals receiving cash assistance.
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| Individuals who are not eligible for cash assistance because of a requirement not applicable under Medicaid.
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| Individuals who would be eligible for cash assistance except for increased OASDI under Pub. L. 92-336 (July 1, 1972).
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| Individuals deemed to be receiving AFDC.
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| Families terminated from AFDC because of increased earnings or hours of employment.
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| Children for whom adoption assistance or foster care maintenance payments are made.
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| Qualified pregnant women and children who are not qualified family members.
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| Qualified family members.
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| Pregnant women eligible for extended coverage.
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| Coverage for certain qualified aliens.
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Subpart C--OPTIONS FOR COVERAGE AS CATEGORICALLY NEEDY
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| Individuals included in optional groups.
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| Individuals who meet the income and resource requirements of the cash assistance programs.
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| Individuals who would be eligible for cash assistance if they were not in medical institutions.
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| 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.
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| Individuals receiving home and community-based services.
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| Individuals who would meet the income and resource requirements under AFDC if child care costs were paid from earnings.
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| Individuals under age 21 who meet the income and resource requirements of AFDC.
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| Individuals under age 21 who are under State adoption assistance agreements.
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| Optional targeted low-income children.
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| Essential spouses of aged, blind, or disabled individuals receiving cash assistance.
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Subpart D--OPTIONAL COVERAGE OF THE MEDICALLY NEEDY
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| Medically needy coverage of individuals under age 21.
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| Medically needy coverage of specified relatives.
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| Medically needy coverage of the aged.
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| Medically needy coverage of the blind.
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| Medically needy coverage of the disabled.
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| Coverage for certain aliens.
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Subpart E--GENERAL ELIGIBILITY REQUIREMENTS
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| Applicant's choice of category.
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| Citizenship and alienage.
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| Types of acceptable documentary evidence of citizenship.
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Subpart F--CATEGORICAL REQUIREMENTS FOR MEDICAID ELIGIBILITY
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| Determination of dependency.
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| Age requirements for the aged.
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| Determination of blindness.
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| Definition of disability.
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| Determination of disability.
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Subpart G--GENERAL FINANCIAL ELIGIBILITY REQUIREMENTS AND OPTIONS
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| Application of financial eligibility methodologies.
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| Financial responsibility of relatives and other individuals.
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| Applications for other benefits.
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| Assignment of rights to benefits.
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Subpart H--[RESERVED]
Subpart I--FINANCIAL REQUIREMENTS FOR THE MEDICALLY NEEDY
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| Medically needy income standard: General requirements.
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| Medically needy income standard: State plan requirements.
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| Post-eligibility treatment of income of institutionalized individuals: Application of patient income to the cost of care.
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| Medically needy resource standard: General requirements.
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| Medically needy resource standard: State plan requirements.
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| Medically needy resource eligibility.
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Subpart J--ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS
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| Automatic entitlement to Medicaid following a determination of eligibility under other programs.
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Subpart K--FEDERAL FINANCIAL PARTICIPATION (FFP)
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| Recipients overcoming certain conditions of eligibility.
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| FFP in expenditures for medical assistance for individuals who have declared United States citizenship or nationality under section 1137(d) of the Act and with respect to whom the State has not documented citizenship and identity.
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| Institutionalized individuals.
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| Definitions relating to institutional status.
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Subpart L--OPTION FOR COVERAGE OF SPECIAL GROUPS
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| Definitions related to presumptive eligibility period for children.
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