C.F.R. » Title 42 » CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES › SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS › PART 435—ELIGIBILITY IN THE STATES, DISTRICT OF COLUMBIA, THE NORTHERN MARIANA ISLANDS, AND AMERICAN SAMOA › Subpart B—Mandatory Coverage

42 C.F.R. § 435.100

Scope

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This subpart prescribes requirements for coverage of categorically needy individuals.

Notes of Decisions
Cited in 13 cases, 1980–2011 · leading case: Hines v. Department of Public Aid
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Hines v. Department of Public Aid (2006) ill “See 305 ILCS 5/5 — 2(1) (West 2002); 42 C.F.R. § 435.100 et seq. (2003). The medically needy are persons who are ineligible to receive cash grants under AFDC or SSI because their resources exceed the eligibility threshold for those programs, but who still lack the ability to pay…”
Massachusetts Association of Older Americans v. Alexander Sharp, Ii, Etc. (1983) ca1 “§ 1396a(a)(10); 42 C.F.R. §§ 435.100 -.340 (1981). The categorically needy are those persons receiving federal aid through other federal cash assistance programs such as AFDC and Supplemental Security Income (SSI).”
Gillmore v. Illinois Department of Human Services (2006) ill “See 305 ILCS 5/5 — 2(1) (West 2002); 42 C.F.R. § 435.100 et seq. (2003). The medically needy are persons who are ineligible to receive cash grants under AFDC or SSI because their resources exceed the eligibility threshold for those programs, but who still lack the ability to pay…”
Hong Pham v. Starkowski (2011) conn “Ill 2009); see also 42 C.F.R. § 435.100 *419 et seq. (2010). The members of the class all meet the categorical eligibility requirements for federal Medicaid.”
Gillmore v. Illinois Department of Human Services Modified Upon Denial of Rehearing (2004) illappct “Under the Illinois program, two groups of persons receive Medicaid benefits: (1) the “categorically needy,” who receive welfare or cash-assistance payments from the State and are automatically eligible for Medicaid benefits (305 ILCS 5/5—2(1) (West 2002); 42 C.F.R. §§ 435.100…”
Vance v. Hegstrom (1986) ca9 “§ 1396a(a)(10)(A); 42 C.F.R. § 435.100 . “Categorically needy” individuals are those persons receiving AFDC or those “who would be eligible for AFDC except for an eligibility requirement used in that program that is specifically prohibited under [Medicaid].”
Hodgson v. Board of County Commissioners (1980) ca8 “See 42 C.F.R. § 435.100 -.135, .700-.740 (1978).”
Hamer v. Department of Human Services (1985) dc “42 C.F.R. § 435.100 et seq. Such individuals are termed the “categorically needy.”
Gillmore v. ILL. DEPT. OF HUMAN SERVICES (2005) illappct “Under the Illinois program, two groups of persons receive Medicaid benefits: (1) the "categorically needy," who receive welfare or cash-assistance payments from the State and are automatically eligible for Medicaid benefits (305 ILCS 5/5-2(1) (West 2002); 42 C.F.R. §§ 435.100…”
Soskin v. Reinertson (2003) cod “§ 1396a(a)(10)(A)(i); 42 C.F.R. 435.100 et. seq. In addition to this “mandatory” population, federal law allows states to choose to cover an additional “optional” population.”
Rosado v. Bowen (1987) njd “§ 1396a(a)(10)(A)(i)(I); 42 C.F.R. § 435.100 et seq.; Vance v. Hegstrom, 793 F.”
Liegl v. Webb (1986) ca2 “§ 1396a(a)(10)(A)(i); 42 C.F.R. § 435.100 . These individuals are referred to as “categorically needy.”
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