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. § 435.122

Individuals who are ineligible for SSI or optional State supplements because of requirements that do not apply under title XIX of the Act

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If an agency provides Medicaid to aged, blind, or disabled individuals receiving SSI or optional State supplements, it must provide Medicaid to individuals who would be eligible for SSI or optional State supplements except for an eligibility requirement used in those programs that is specifically prohibited under title XIX.

[47 FR 43648, Oct. 1, 1982; 47 FR 49847, Nov. 3, 1982]
Notes of Decisions
Cited in 3 cases, 1984–2002 · leading case: Rosen v. Tennessee Comm'r of Fin. & Admin., 280 F. Supp. 2d 743 (M.D. Tenn. 2002).
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Rosen v. Tennessee Comm'r of Fin. & Admin., 280 F. Supp. 2d 743 (M.D. Tenn. 2002). “42 C.F.R. § 435.122 . The “medically needy” are those individuals not receiving AFDC or SSI, but whose income and resources, in comparison to their medical expenses, are within the limits established by the Department of Health and Human Services (hereinafter “HHS”).”
Crippen v. Kheder, 741 F.2d 102 (6th Cir. 1984). “42 C.F.R. § 435.122 . The “medically needy” are those individuals not receiving AFDC or SSI, but whose income and resources, in comparison to their medical expenses, are within the limits established by the Department of Health and Human Services (hereinafter “HHS”).”
Edwards v. Myers, 167 Cal. App. 3d 1070 (Cal. Ct. App. 1985). “( 42 C.F.R. § 435.122 .) The “medically needy” are persons not receiving AFDC or SSI, but who meet certain eligibility guidelines for medical assistance.”
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