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us/regulation/42/435/232 — Individuals receiving only optional State supplements · Axiom

Individuals receiving only optional State supplements

3 rulesAll 2 subsections

(a)If the agency provides Medicaid to individuals…∀ 2#

(a) If the agency provides Medicaid to individuals receiving SSI under § 435.120, it may provide Medicaid, in one or more of the following classifications, to individuals who receive only an optional State supplement that meets the conditions specified in paragraph (b) of this section and who would be eligible for SSI except for the level of their income.

(1) All aged individuals.

(2) All blind individuals.

(3) All disabled individuals.

(4) Only aged individuals in domiciliary facilities or other group living arrangements as defined under SSI.

(5) Only blind individuals in domiciliary facilities or other group living arrangements as defined under SSI.

(6) Only disabled individuals in domiciliary facilities or other group living arrangements as defined under SSI.

(7) Individuals receiving a federally administered optional State supplement that meets the conditions specified in this section.

(8) Individuals in additional classifications specified by the Secretary for federally administered supplementary payments under 20 CFR 416.2020(d).

(9) Reasonable groups of individuals, as specified by the State, receiving State-administered supplementary payments.

(b)Payments under the optional supplement program must be—∀ 1#

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Encodings · 3

optional_state_supplement_meets_payment_conditions42 CFR § 435.232 (b) · derived

42 CFR 435.232(b)

name: optional_state_supplement_meets_payment_conditions
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 435.232(b)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us/regulation/42/435/232
versions:
  - effective_from: '2024-01-01'
    formula: >-
      optional_state_supplement_is_based_on_need

      and optional_state_supplement_is_paid_in_cash_on_regular_basis

      and
      optional_state_supplement_equals_countable_income_gap_to_supplement_standard

      and
      optional_state_supplement_available_to_all_in_classification_and_statewide_or_allowed_cost_of_living_variation

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optional_state_supplement_recipient_in_covered_classification42 CFR § 435.232 (a) · derived

42 CFR 435.232(a)

name: optional_state_supplement_recipient_in_covered_classification
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 435.232(a)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us/regulation/42/435/232
versions:
  - effective_from: '2024-01-01'
    formula: >-
      (person_is_aged and agency_covers_all_aged_individuals)

      or (person_is_blind and agency_covers_all_blind_individuals)

      or (person_is_disabled and agency_covers_all_disabled_individuals)

      or (person_is_aged and
      person_is_in_domiciliary_facility_or_other_group_living_arrangement_defined_under_ssi
      and agency_covers_aged_individuals_in_ssi_group_living_arrangements)

      or (person_is_blind and
      person_is_in_domiciliary_facility_or_other_group_living_arrangement_defined_under_ssi
      and agency_covers_blind_individuals_in_ssi_group_living_arrangements)

      or (person_is_disabled and
      person_is_in_domiciliary_facility_or_other_group_living_arrangement_defined_under_ssi
      and agency_covers_disabled_individuals_in_ssi_group_living_arrangements)

      or (person_receives_federally_administered_optional_state_supplement and
      agency_covers_federally_administered_optional_state_supplement_recipients)

      or
      (person_is_in_secretary_specified_federally_administered_supplementary_payment_classification
      and agency_covers_secretary_specified_additional_classifications)

      or
      (person_is_in_state_specified_reasonable_group_receiving_state_administered_supplementary_payments
      and agency_covers_state_specified_reasonable_groups)

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optional_state_supplement_recipient_medicaid_may_be_provided42 CFR § 435.232 (a) · derived

42 CFR 435.232(a)

name: optional_state_supplement_recipient_medicaid_may_be_provided
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 435.232(a)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us/regulation/42/435/232
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us:regulations/42-cfr/435/232#optional_state_supplement_meets_payment_conditions
          output: optional_state_supplement_meets_payment_conditions
          hash: sha256:local
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us:regulations/42-cfr/435/232#optional_state_supplement_recipient_in_covered_classification
          output: optional_state_supplement_recipient_in_covered_classification
          hash: sha256:local
versions:
  - effective_from: '2024-01-01'
    formula: >-
      agency_provides_medicaid_to_individuals_receiving_ssi_under_section_435_120

      and person_receives_only_optional_state_supplement

      and person_would_be_eligible_for_ssi_except_for_income_level

      and optional_state_supplement_meets_payment_conditions

      and optional_state_supplement_recipient_in_covered_classification

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▸rulespec code

Shown source

regulations/42-cfr/435/232.yaml

Displaying the canonical repository encoding.

View on GitHub

Rules

optional_state_supplement_meets_payment_conditions

Derived(b) in text ↖

source: 42 CFR 435.232(b)

- name: optional_state_supplement_meets_payment_conditions
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.232(b)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us/regulation/42/435/232
  versions:
    - effective_from: '2024-01-01'
      formula: >-
        optional_state_supplement_is_based_on_need

        and optional_state_supplement_is_paid_in_cash_on_regular_basis

        and optional_state_supplement_equals_countable_income_gap_to_supplement_standard

        and
        optional_state_supplement_available_to_all_in_classification_and_statewide_or_allowed_cost_of_living_variation

optional_state_supplement_recipient_in_covered_classification

Derived(a) in text ↖

source: 42 CFR 435.232(a)

- name: optional_state_supplement_recipient_in_covered_classification
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.232(a)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us/regulation/42/435/232
  versions:
    - effective_from: '2024-01-01'
      formula: >-
        (person_is_aged and agency_covers_all_aged_individuals)

        or (person_is_blind and agency_covers_all_blind_individuals)

        or (person_is_disabled and agency_covers_all_disabled_individuals)

        or (person_is_aged and
        person_is_in_domiciliary_facility_or_other_group_living_arrangement_defined_under_ssi and
        agency_covers_aged_individuals_in_ssi_group_living_arrangements)

        or (person_is_blind and
        person_is_in_domiciliary_facility_or_other_group_living_arrangement_defined_under_ssi and
        agency_covers_blind_individuals_in_ssi_group_living_arrangements)

        or (person_is_disabled and
        person_is_in_domiciliary_facility_or_other_group_living_arrangement_defined_under_ssi and
        agency_covers_disabled_individuals_in_ssi_group_living_arrangements)

        or (person_receives_federally_administered_optional_state_supplement and
        agency_covers_federally_administered_optional_state_supplement_recipients)

        or
        (person_is_in_secretary_specified_federally_administered_supplementary_payment_classification
        and agency_covers_secretary_specified_additional_classifications)

        or
        (person_is_in_state_specified_reasonable_group_receiving_state_administered_supplementary_payments
        and agency_covers_state_specified_reasonable_groups)

optional_state_supplement_recipient_medicaid_may_be_provided

Derived(a) in text ↖

source: 42 CFR 435.232(a)

- name: optional_state_supplement_recipient_medicaid_may_be_provided
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.232(a)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us/regulation/42/435/232
        - path: versions[0].formula
          kind: import
          import:
            target: us:regulations/42-cfr/435/232#optional_state_supplement_meets_payment_conditions
            output: optional_state_supplement_meets_payment_conditions
            hash: sha256:local
        - path: versions[0].formula
          kind: import
          import:
            target: >-
              us:regulations/42-cfr/435/232#optional_state_supplement_recipient_in_covered_classification
            output: optional_state_supplement_recipient_in_covered_classification
            hash: sha256:local
  versions:
    - effective_from: '2024-01-01'
      formula: |-
        agency_provides_medicaid_to_individuals_receiving_ssi_under_section_435_120
        and person_receives_only_optional_state_supplement
        and person_would_be_eligible_for_ssi_except_for_income_level
        and optional_state_supplement_meets_payment_conditions
        and optional_state_supplement_recipient_in_covered_classification

▸citations (2)

References

This rule cites 2 other rules.

42 CFR § 435.120inferredUS Federal › Regulations › Title 42 › § 435 › (120)
42 CFR § 435.1006inferredUS Federal › Regulations › Title 42 › § 435 › (1006)

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Individuals receiving only optional State supplements

3 rulesAll 2 subsections

Official source

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(a)If the agency provides Medicaid to individuals…∀ 2#

(1) All aged individuals.

(2) All blind individuals.

(3) All disabled individuals.

(4) Only aged individuals in domiciliary facilities or other group living arrangements as defined under SSI.

(5) Only blind individuals in domiciliary facilities or other group living arrangements as defined under SSI.

(6) Only disabled individuals in domiciliary facilities or other group living arrangements as defined under SSI.

(7) Individuals receiving a federally administered optional State supplement that meets the conditions specified in this section.

(8) Individuals in additional classifications specified by the Secretary for federally administered supplementary payments under 20 CFR 416.2020(d).

(9) Reasonable groups of individuals, as specified by the State, receiving State-administered supplementary payments.

(b)Payments under the optional supplement program must be—∀ 1#

graph ↗use in builder ↗

in view

Whole section

Encodings · 3

optional_state_supplement_meets_payment_conditions42 CFR § 435.232 (b) · derived

42 CFR 435.232(b)

name: optional_state_supplement_meets_payment_conditions
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 435.232(b)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us/regulation/42/435/232
versions:
  - effective_from: '2024-01-01'
    formula: >-
      optional_state_supplement_is_based_on_need

      and optional_state_supplement_is_paid_in_cash_on_regular_basis

      and
      optional_state_supplement_equals_countable_income_gap_to_supplement_standard

      and
      optional_state_supplement_available_to_all_in_classification_and_statewide_or_allowed_cost_of_living_variation

open in graph ↗

optional_state_supplement_recipient_in_covered_classification42 CFR § 435.232 (a) · derived

42 CFR 435.232(a)

name: optional_state_supplement_recipient_in_covered_classification
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 435.232(a)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us/regulation/42/435/232
versions:
  - effective_from: '2024-01-01'
    formula: >-
      (person_is_aged and agency_covers_all_aged_individuals)

      or (person_is_blind and agency_covers_all_blind_individuals)

      or (person_is_disabled and agency_covers_all_disabled_individuals)

      or (person_is_aged and
      person_is_in_domiciliary_facility_or_other_group_living_arrangement_defined_under_ssi
      and agency_covers_aged_individuals_in_ssi_group_living_arrangements)

      or (person_is_blind and
      person_is_in_domiciliary_facility_or_other_group_living_arrangement_defined_under_ssi
      and agency_covers_blind_individuals_in_ssi_group_living_arrangements)

      or (person_is_disabled and
      person_is_in_domiciliary_facility_or_other_group_living_arrangement_defined_under_ssi
      and agency_covers_disabled_individuals_in_ssi_group_living_arrangements)

      or (person_receives_federally_administered_optional_state_supplement and
      agency_covers_federally_administered_optional_state_supplement_recipients)

      or
      (person_is_in_secretary_specified_federally_administered_supplementary_payment_classification
      and agency_covers_secretary_specified_additional_classifications)

      or
      (person_is_in_state_specified_reasonable_group_receiving_state_administered_supplementary_payments
      and agency_covers_state_specified_reasonable_groups)

open in graph ↗

optional_state_supplement_recipient_medicaid_may_be_provided42 CFR § 435.232 (a) · derived

42 CFR 435.232(a)

name: optional_state_supplement_recipient_medicaid_may_be_provided
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 435.232(a)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us/regulation/42/435/232
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us:regulations/42-cfr/435/232#optional_state_supplement_meets_payment_conditions
          output: optional_state_supplement_meets_payment_conditions
          hash: sha256:local
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us:regulations/42-cfr/435/232#optional_state_supplement_recipient_in_covered_classification
          output: optional_state_supplement_recipient_in_covered_classification
          hash: sha256:local
versions:
  - effective_from: '2024-01-01'
    formula: >-
      agency_provides_medicaid_to_individuals_receiving_ssi_under_section_435_120

      and person_receives_only_optional_state_supplement

      and person_would_be_eligible_for_ssi_except_for_income_level

      and optional_state_supplement_meets_payment_conditions

      and optional_state_supplement_recipient_in_covered_classification

open in graph ↗

▸rulespec code

Shown source

regulations/42-cfr/435/232.yaml

Displaying the canonical repository encoding.

View on GitHub

Rules

optional_state_supplement_meets_payment_conditions

Derived(b) in text ↖

source: 42 CFR 435.232(b)

- name: optional_state_supplement_meets_payment_conditions
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.232(b)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us/regulation/42/435/232
  versions:
    - effective_from: '2024-01-01'
      formula: >-
        optional_state_supplement_is_based_on_need

        and optional_state_supplement_is_paid_in_cash_on_regular_basis

        and optional_state_supplement_equals_countable_income_gap_to_supplement_standard

        and
        optional_state_supplement_available_to_all_in_classification_and_statewide_or_allowed_cost_of_living_variation

optional_state_supplement_recipient_in_covered_classification

Derived(a) in text ↖

source: 42 CFR 435.232(a)

- name: optional_state_supplement_recipient_in_covered_classification
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.232(a)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us/regulation/42/435/232
  versions:
    - effective_from: '2024-01-01'
      formula: >-
        (person_is_aged and agency_covers_all_aged_individuals)

        or (person_is_blind and agency_covers_all_blind_individuals)

        or (person_is_disabled and agency_covers_all_disabled_individuals)

        or (person_is_aged and
        person_is_in_domiciliary_facility_or_other_group_living_arrangement_defined_under_ssi and
        agency_covers_aged_individuals_in_ssi_group_living_arrangements)

        or (person_is_blind and
        person_is_in_domiciliary_facility_or_other_group_living_arrangement_defined_under_ssi and
        agency_covers_blind_individuals_in_ssi_group_living_arrangements)

        or (person_is_disabled and
        person_is_in_domiciliary_facility_or_other_group_living_arrangement_defined_under_ssi and
        agency_covers_disabled_individuals_in_ssi_group_living_arrangements)

        or (person_receives_federally_administered_optional_state_supplement and
        agency_covers_federally_administered_optional_state_supplement_recipients)

        or
        (person_is_in_secretary_specified_federally_administered_supplementary_payment_classification
        and agency_covers_secretary_specified_additional_classifications)

        or
        (person_is_in_state_specified_reasonable_group_receiving_state_administered_supplementary_payments
        and agency_covers_state_specified_reasonable_groups)

optional_state_supplement_recipient_medicaid_may_be_provided

Derived(a) in text ↖

source: 42 CFR 435.232(a)

- name: optional_state_supplement_recipient_medicaid_may_be_provided
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.232(a)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us/regulation/42/435/232
        - path: versions[0].formula
          kind: import
          import:
            target: us:regulations/42-cfr/435/232#optional_state_supplement_meets_payment_conditions
            output: optional_state_supplement_meets_payment_conditions
            hash: sha256:local
        - path: versions[0].formula
          kind: import
          import:
            target: >-
              us:regulations/42-cfr/435/232#optional_state_supplement_recipient_in_covered_classification
            output: optional_state_supplement_recipient_in_covered_classification
            hash: sha256:local
  versions:
    - effective_from: '2024-01-01'
      formula: |-
        agency_provides_medicaid_to_individuals_receiving_ssi_under_section_435_120
        and person_receives_only_optional_state_supplement
        and person_would_be_eligible_for_ssi_except_for_income_level
        and optional_state_supplement_meets_payment_conditions
        and optional_state_supplement_recipient_in_covered_classification

▸citations (2)

References

This rule cites 2 other rules.

42 CFR § 435.120inferredUS Federal › Regulations › Title 42 › § 435 › (120)
42 CFR § 435.1006inferredUS Federal › Regulations › Title 42 › § 435 › (1006)