Title 42

PART 436

Part 436 - Eligibility In Guam, Puerto Rico, And The Virgin Islands

PART 436 - ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS Authority:Sec. 1102 of the Social Security Act (42 U.S.C. 1302). Source:43 FR 45218, Sept. 29, 1978, unless otherwise noted.

42:4.0.1.1.7.1SUBPART A
Subpart A - General Provisions and Definitions
42:4.0.1.1.7.1.88.1SECTION 436.1
   436.1 Purpose and applicability.
42:4.0.1.1.7.1.88.2SECTION 436.2
   436.2 Basis.
42:4.0.1.1.7.1.88.3SECTION 436.3
   436.3 Definitions and use of terms.
42:4.0.1.1.7.1.88.4SECTION 436.10
   436.10 State plan requirements.
42:4.0.1.1.7.2SUBPART B
Subpart B - Mandatory Coverage of the Categorically Needy
42:4.0.1.1.7.2.88.1SECTION 436.100
   436.100 Scope.
42:4.0.1.1.7.2.88.2SECTION 436.110
   436.110 Individuals receiving cash assistance.
42:4.0.1.1.7.2.88.3SECTION 436.111
   436.111 Individuals who are not eligible for cash assistance because of a requirement not applicable under Medicaid.
42:4.0.1.1.7.2.88.4SECTION 436.112
   436.112 Individuals who would be eligible for cash assistance except for increased OASDI under Pub. L. 92-336 (July 1, 1972).
42:4.0.1.1.7.2.88.5SECTION 436.114
   436.114 Individuals deemed to be receiving AFDC.
42:4.0.1.1.7.2.88.6SECTION 436.116
   436.116 Families terminated from AFDC because of increased earnings or hours of employment.
42:4.0.1.1.7.2.88.7SECTION 436.118
   436.118 Children for whom adoption assistance or foster care maintenance payments are made.
42:4.0.1.1.7.2.88.8SECTION 436.120
   436.120 Qualified pregnant women and children who are not qualified family members.
42:4.0.1.1.7.2.88.9SECTION 436.121
   436.121 Qualified family members.
42:4.0.1.1.7.2.88.10SECTION 436.122
   436.122 Pregnant women eligible for extended coverage.
42:4.0.1.1.7.2.88.11SECTION 436.124
   436.124 Newborn children.
42:4.0.1.1.7.2.88.12SECTION 436.128
   436.128 Coverage for certain qualified aliens.
42:4.0.1.1.7.3SUBPART C
Subpart C - Options for Coverage as Categorically Needy
42:4.0.1.1.7.3.88SUBJGRP 88
   Options for Coverage of Families and Children and Aged, Blind, and Disabled Individuals, Including Pregnant Women
42:4.0.1.1.7.3.88.1SECTION 436.200
   436.200 Scope.
42:4.0.1.1.7.3.88.2SECTION 436.201
   436.201 Individuals included in optional groups.
42:4.0.1.1.7.3.88.3SECTION 436.210
   436.210 Individuals who meet the income and resource requirements of the cash assistance programs.
42:4.0.1.1.7.3.88.4SECTION 436.211
   436.211 Individuals who would be eligible for cash assistance if they were not in medical institutions.
42:4.0.1.1.7.3.88.5SECTION 436.212
   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.
42:4.0.1.1.7.3.88.6SECTION 436.217
   436.217 Individuals receiving home and community-based services.
42:4.0.1.1.7.3.88.7SECTION 436.219
   436.219 Individuals receiving State plan home and community-based services.
42:4.0.1.1.7.3.88.8SECTION 436.220
   436.220 Individuals who would meet the income and resource requirements under AFDC if child care costs were paid from earnings.
42:4.0.1.1.7.3.88.9SECTION 436.222
   436.222 Individuals under age 21 who meet the income and resource requirements of AFDC.
42:4.0.1.1.7.3.88.10SECTION 436.224
   436.224 Individuals under age 21 who are under State adoption assistance agreements.
42:4.0.1.1.7.3.88.11SECTION 436.229
   436.229 Optional targeted low-income children.
42:4.0.1.1.7.3.89SUBJGRP 89
   Options for Coverage of the Aged, Blind, and Disabled
42:4.0.1.1.7.3.89.12SECTION 436.230
   436.230 Essential spouses of aged, blind, or disabled individuals receiving cash assistance.
42:4.0.1.1.7.4SUBPART D
Subpart D - Optional Coverage of the Medically Needy
42:4.0.1.1.7.4.90.1SECTION 436.300
   436.300 Scope.
42:4.0.1.1.7.4.90.2SECTION 436.301
   436.301 General rules.
42:4.0.1.1.7.4.90.3SECTION 436.308
   436.308 Medically needy coverage of individuals under age 21.
42:4.0.1.1.7.4.90.4SECTION 436.310
   436.310 Medically needy coverage of specified relatives.
42:4.0.1.1.7.4.90.5SECTION 436.320
   436.320 Medically needy coverage of the aged.
42:4.0.1.1.7.4.90.6SECTION 436.321
   436.321 Medically needy coverage of the blind.
42:4.0.1.1.7.4.90.7SECTION 436.322
   436.322 Medically needy coverage of the disabled.
42:4.0.1.1.7.4.90.8SECTION 436.330
   436.330 Coverage for certain aliens.
42:4.0.1.1.7.5SUBPART E
Subpart E - General Eligibility Requirements
42:4.0.1.1.7.5.90.1SECTION 436.400
   436.400 Scope.
42:4.0.1.1.7.5.90.2SECTION 436.401
   436.401 General rules.
42:4.0.1.1.7.5.90.3SECTION 436.402
   436.402 [Reserved]
42:4.0.1.1.7.5.90.4SECTION 436.403
   436.403 State residence.
42:4.0.1.1.7.5.90.5SECTION 436.404
   436.404 Applicant's choice of category.
42:4.0.1.1.7.5.90.6SECTION 436.406
   436.406 Citizenship and alienage.
42:4.0.1.1.7.5.90.7SECTION 436.407
   436.407 Types of acceptable documentary evidence of citizenship.
42:4.0.1.1.7.5.90.8SECTION 436.408
   436.408 [Reserved]
42:4.0.1.1.7.6SUBPART F
Subpart F - Categorical Requirements for Medicaid Eligibility
42:4.0.1.1.7.6.90SUBJGRP 90
   Dependency
42:4.0.1.1.7.6.90.1SECTION 436.500
   436.500 Scope.
42:4.0.1.1.7.6.90.2SECTION 436.510
   436.510 Determination of dependency.
42:4.0.1.1.7.6.91SUBJGRP 91
   Age
42:4.0.1.1.7.6.91.3SECTION 436.520
   436.520 Age requirements for the aged.
42:4.0.1.1.7.6.91.4SECTION 436.522
   436.522 Determination of age.
42:4.0.1.1.7.6.92SUBJGRP 92
   Blindness
42:4.0.1.1.7.6.92.5SECTION 436.530
   436.530 Definition of blindness.
42:4.0.1.1.7.6.92.6SECTION 436.531
   436.531 Determination of blindness.
42:4.0.1.1.7.6.93SUBJGRP 93
   Disability
42:4.0.1.1.7.6.93.7SECTION 436.540
   436.540 Definition of disability.
42:4.0.1.1.7.6.93.8SECTION 436.541
   436.541 Determination of disability.
42:4.0.1.1.7.7SUBPART G
Subpart G - General Financial Eligibility Requirements and Options
42:4.0.1.1.7.7.94.1SECTION 436.600
   436.600 Scope.
42:4.0.1.1.7.7.94.2SECTION 436.601
   436.601 Application of financial eligibility methodologies.
42:4.0.1.1.7.7.94.3SECTION 436.602
   436.602 Financial responsibility of relatives and other individuals.
42:4.0.1.1.7.7.94.4SECTION 436.604
   436.604 [Reserved]
42:4.0.1.1.7.7.94.5SECTION 436.606
   436.606 [Reserved]
42:4.0.1.1.7.7.94.6SECTION 436.608
   436.608 Applications for other benefits.
42:4.0.1.1.7.7.94.7SECTION 436.610
   436.610 Assignment of rights to benefits.
42:4.0.1.1.7.8SUBPART H
Subpart H [Reserved]
42:4.0.1.1.7.9SUBPART I
Subpart I - Financial Requirements for the Medically Needy
42:4.0.1.1.7.9.94SUBJGRP 94
   Medically Needy Income Standard
42:4.0.1.1.7.9.94.1SECTION 436.800
   436.800 Scope.
42:4.0.1.1.7.9.94.2SECTION 436.811
   436.811 Medically needy income standard: General requirements.
42:4.0.1.1.7.9.94.3SECTION 436.814
   436.814 Medically needy income standard: State plan requirements.
42:4.0.1.1.7.9.95SUBJGRP 95
   Medically Needy Income Eligibility and Liability for Payment of Medical Expenses
42:4.0.1.1.7.9.95.4SECTION 436.831
   436.831 Income eligibility.
42:4.0.1.1.7.9.95.5SECTION 436.832
   436.832 Post-eligibility treatment of income of institutionalized individuals: Application of patient income to the cost of care.
42:4.0.1.1.7.9.96SUBJGRP 96
   Medically Needy Resource Standard
42:4.0.1.1.7.9.96.6SECTION 436.840
   436.840 Medically needy resource standard: General requirements.
42:4.0.1.1.7.9.96.7SECTION 436.843
   436.843 Medically needy resource standard: State plan requirements.
42:4.0.1.1.7.9.97SUBJGRP 97
   Determining Eligibility on the Basis of Resources
42:4.0.1.1.7.9.97.8SECTION 436.845
   436.845 Medically needy resource eligibility.
42:4.0.1.1.7.10SUBPART J
Subpart J - Eligibility in Guam, Puerto Rico, and the Virgin Islands
42:4.0.1.1.7.10.98.1SECTION 436.900
   436.900 Scope.
42:4.0.1.1.7.10.98.2SECTION 436.901
   436.901 General requirements.
42:4.0.1.1.7.10.98.3SECTION 436.909
   436.909 Automatic entitlement to Medicaid following a determination of eligibility under other programs.
42:4.0.1.1.7.11SUBPART K
Subpart K - Federal Financial Participation (FFP)
42:4.0.1.1.7.11.98SUBJGRP 98
   FFP for Expenditures for Determining Eligibility and Providing Services
42:4.0.1.1.7.11.98.1SECTION 436.1000
   436.1000 Scope.
42:4.0.1.1.7.11.98.2SECTION 436.1001
   436.1001 FFP for administration.
42:4.0.1.1.7.11.98.3SECTION 436.1002
   436.1002 FFP for services.
42:4.0.1.1.7.11.98.4SECTION 436.1003
   436.1003 beneficiaries overcoming certain conditions of eligibility.
42:4.0.1.1.7.11.98.5SECTION 436.1004
   436.1004 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.
42:4.0.1.1.7.11.98.6SECTION 436.1005
   436.1005 Institutionalized individuals.
42:4.0.1.1.7.11.98.7SECTION 436.1006
   436.1006 Definitions relating to institutional status.
42:4.0.1.1.7.12SUBPART L
Subpart L - Option for Coverage of Special Groups
42:4.0.1.1.7.12.99SUBJGRP 99
   Presumptive Eligibility for Children
42:4.0.1.1.7.12.99.1SECTION 436.1100
   436.1100 Basis and scope.
42:4.0.1.1.7.12.99.2SECTION 436.1101
   436.1101 Definitions related to presumptive eligibility period for children.
42:4.0.1.1.7.12.99.3SECTION 436.1102
   436.1102 General rules.