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us/regulation/42/435/211 — Optional eligibility for individuals who would be eligible for cash assistance if they were not in medical institutions · Axiom

Optional eligibility for individuals who would be eligible for cash assistance if they were not in medical institutions

1 rule1 of 2 subsections

Official source

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(a)Basis. This section implements section…#

(a) Basis. This section implements section 1902(a)(10)(A)(ii)(IV) of the Act.

(b)Eligibility. The agency may provide Medicaid to any…∀ 1#

(b) Eligibility. The agency may provide Medicaid to any group or groups of individuals specified in § 435.201(a)(1) through (3) who are institutionalized in a title XIX reimbursable medical institution and who:

(1) Are ineligible for the SSI or an optional State supplement program in States that provide Medicaid to optional State supplement recipients, because of lower income standards used under the program to determine eligibility for institutionalized individuals; but

(2) Would be eligible for aid or assistance under SSI or an optional State supplement program (as specified in § 435.232 or § 435.234) if they were not institutionalized.

in view

Whole section

Encodings · 1

institutional_cash_assistance_exception_medicaid_may_be_provided42 CFR § 435.211 (b) · derived

42 CFR 435.211(b)

name: institutional_cash_assistance_exception_medicaid_may_be_provided
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 435.211(b)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: predicate
        source:
          corpus_citation_path: us/regulation/42/435/211
versions:
  - effective_from: '2014-01-01'
    formula: >-
      person_in_group_specified_in_section_435_201_a_1_through_3

      and person_institutionalized_in_title_xix_reimbursable_medical_institution

      and
      person_ineligible_for_ssi_or_optional_state_supplement_due_to_lower_institutional_income_standards

      and (
        person_would_be_eligible_for_ssi_if_not_institutionalized
        or person_would_be_eligible_for_optional_state_supplement_under_section_435_232_if_not_institutionalized
        or person_would_be_eligible_for_optional_state_supplement_under_section_435_234_if_not_institutionalized
      )

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▸rulespec code

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regulations/42-cfr/435/211.yaml

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Rules

institutional_cash_assistance_exception_medicaid_may_be_provided

Derived(b) in text ↖

source: 42 CFR 435.211(b)

- name: institutional_cash_assistance_exception_medicaid_may_be_provided
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.211(b)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/regulation/42/435/211
  versions:
    - effective_from: '2014-01-01'
      formula: >-
        person_in_group_specified_in_section_435_201_a_1_through_3

        and person_institutionalized_in_title_xix_reimbursable_medical_institution

        and
        person_ineligible_for_ssi_or_optional_state_supplement_due_to_lower_institutional_income_standards

        and (
          person_would_be_eligible_for_ssi_if_not_institutionalized
          or person_would_be_eligible_for_optional_state_supplement_under_section_435_232_if_not_institutionalized
          or person_would_be_eligible_for_optional_state_supplement_under_section_435_234_if_not_institutionalized
        )

▸citations (3)

References

This rule cites 3 other rules.

42 CFR § 435.201 (a)(1)inferredUS Federal › Regulations › Title 42 › § 435 › (201)(a)(1)
42 CFR § 435.232inferredUS Federal › Regulations › Title 42 › § 435 › (232)
42 CFR § 435.234inferredUS Federal › Regulations › Title 42 › § 435 › (234)

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Optional eligibility for individuals who would be eligible for cash assistance if they were not in medical institutions

1 rule1 of 2 subsections

Official source

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(a)Basis. This section implements section…#

(a) Basis. This section implements section 1902(a)(10)(A)(ii)(IV) of the Act.

(b)Eligibility. The agency may provide Medicaid to any…∀ 1#

(2) Would be eligible for aid or assistance under SSI or an optional State supplement program (as specified in § 435.232 or § 435.234) if they were not institutionalized.

in view

Whole section

Encodings · 1

institutional_cash_assistance_exception_medicaid_may_be_provided42 CFR § 435.211 (b) · derived

42 CFR 435.211(b)

name: institutional_cash_assistance_exception_medicaid_may_be_provided
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 435.211(b)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: predicate
        source:
          corpus_citation_path: us/regulation/42/435/211
versions:
  - effective_from: '2014-01-01'
    formula: >-
      person_in_group_specified_in_section_435_201_a_1_through_3

      and person_institutionalized_in_title_xix_reimbursable_medical_institution

      and
      person_ineligible_for_ssi_or_optional_state_supplement_due_to_lower_institutional_income_standards

      and (
        person_would_be_eligible_for_ssi_if_not_institutionalized
        or person_would_be_eligible_for_optional_state_supplement_under_section_435_232_if_not_institutionalized
        or person_would_be_eligible_for_optional_state_supplement_under_section_435_234_if_not_institutionalized
      )

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▸rulespec code

Shown source

regulations/42-cfr/435/211.yaml

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View on GitHub

Rules

institutional_cash_assistance_exception_medicaid_may_be_provided

Derived(b) in text ↖

source: 42 CFR 435.211(b)

- name: institutional_cash_assistance_exception_medicaid_may_be_provided
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.211(b)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/regulation/42/435/211
  versions:
    - effective_from: '2014-01-01'
      formula: >-
        person_in_group_specified_in_section_435_201_a_1_through_3

        and person_institutionalized_in_title_xix_reimbursable_medical_institution

        and
        person_ineligible_for_ssi_or_optional_state_supplement_due_to_lower_institutional_income_standards

        and (
          person_would_be_eligible_for_ssi_if_not_institutionalized
          or person_would_be_eligible_for_optional_state_supplement_under_section_435_232_if_not_institutionalized
          or person_would_be_eligible_for_optional_state_supplement_under_section_435_234_if_not_institutionalized
        )

▸citations (3)

References

This rule cites 3 other rules.

42 CFR § 435.201 (a)(1)inferredUS Federal › Regulations › Title 42 › § 435 › (201)(a)(1)
42 CFR § 435.232inferredUS Federal › Regulations › Title 42 › § 435 › (232)
42 CFR § 435.234inferredUS Federal › Regulations › Title 42 › § 435 › (234)