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 A—General Provisions and Definitions

42 C.F.R. § 435.2

Purpose and applicability

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This part sets forth, for the 50 States, the District of Columbia, the Northern Mariana Islands, and American Samoa—

(a) The eligibility provisions that a State plan must contain;

(b) The mandatory and optional groups of individuals to whom Medicaid is provided under a State plan;

(c) The eligibility requirements and procedures that the Medicaid agency must use in determining and redetermining eligibility, and requirements it may not use;

(d) The availability of FFP for providing Medicaid and for administering the eligibility provisions of the plan; and

(e) Other requirements concerning eligibility determinations, such as use of an institutionalized individual's income for the cost of care.

[43 FR 45204, Sept. 29, 1978, as amended at 44 FR 17937, Mar. 23, 1979; 51 FR 41350, Nov. 14, 1986]
Notes of Decisions
Cited in 2 cases, 1983–2000 · leading case: Mtr. of Shah (Helen Hayes Hosp.), 733 N.E.2d 1093 (NY 2000).
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Mtr. of Shah (Helen Hayes Hosp.), 733 N.E.2d 1093 (NY 2000). “” Subpart A (“General Provisions and Definitions”) states: *156 “[t]his part sets forth, for the 50 States * * * The eligibility requirements and procedures that the Medicaid agency must use in determining and redetermining eligibility, and requirements it may not use” (42 CFR…”
Gadway v. Blum, 567 F. Supp. 772 (N.D.N.Y. 1983). “" 42 C.F.R. § 435.2 — (b)(3)(i); 42 C.F.R. § 435.”
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