us/regulation/42/435/603/a/3

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(3) In the case of determining ongoing eligibility for beneficiaries determined eligible for Medicaid coverage to begin on or before December 31, 2013, application of the financial methodologies set forth in this section will not be applied until March 31, 2014 or the next regularly-scheduled renewal of eligibility for such individual under § 435.916 of this part, whichever is later.

in view

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regulations/42-cfr/435/603/a.yaml

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Rules

legacy_beneficiary_methodology_transition_applies

Derived

source: 42 CFR 435.603(a)

- name: legacy_beneficiary_methodology_transition_applies
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.603(a)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: exception
          source:
            corpus_citation_path: us/regulation/42/435/603/a
            excerpt: >-
              beneficiaries determined eligible for Medicaid coverage to begin on or before December
              31, 2013
        - path: versions[0].formula
          kind: effective_period
          source:
            corpus_citation_path: us/regulation/42/435/603/a
            excerpt: until March 31, 2014 or the next regularly-scheduled renewal
  versions:
    - effective_from: '2014-01-01'
      formula: |-
        beneficiary_coverage_began_on_or_before_legacy_transition_cutoff
        and not methodology_transition_date_has_arrived

magi_financial_methodologies_apply_for_medicaid_financial_eligibility

Derived

source: 42 CFR 435.603(a)

- name: magi_financial_methodologies_apply_for_medicaid_financial_eligibility
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.603(a)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/regulation/42/435/603/a
            excerpt: the agency must apply the financial methodologies set forth in this section
        - path: versions[0].formula
          kind: exception
          source:
            corpus_citation_path: us/regulation/42/435/603/a
            excerpt: except for individuals identified in paragraph (j)
        - path: versions[0].formula
          kind: import
          import:
            target: >-
              us:regulations/42-cfr/435/603/j#magi_based_methods_do_not_apply_for_medicaid_eligibility
            output: magi_based_methods_do_not_apply_for_medicaid_eligibility
            hash: sha256:987414bc1d8fdf701b3090f8e82829aa6e4fb1e852dbc6cca0ccf80ce02b9d9c
        - path: versions[0].formula
          kind: import
          import:
            target: us:regulations/42-cfr/435/603/a#legacy_beneficiary_methodology_transition_applies
            output: legacy_beneficiary_methodology_transition_applies
            hash: sha256:local
  versions:
    - effective_from: '2014-01-01'
      formula: |-
        individual_financial_eligibility_for_medicaid_being_determined
        and not magi_based_methods_do_not_apply_for_medicaid_eligibility
        and not legacy_beneficiary_methodology_transition_applies

▸citations (1)

References

This rule cites 1 other rule.

42 CFR § 435.916inferredUS Federal › Regulations › Title 42 › § 435 › (916)

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us/regulation/42/435/603/a/3 · Axiom

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in view

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▸rulespec code

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regulations/42-cfr/435/603/a.yaml

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This encoding covers the parent provision us/regulation/42/435/603/a; no dedicated encoding exists for this exact provision yet.

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Rules

legacy_beneficiary_methodology_transition_applies

Derived

source: 42 CFR 435.603(a)

- name: legacy_beneficiary_methodology_transition_applies
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.603(a)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: exception
          source:
            corpus_citation_path: us/regulation/42/435/603/a
            excerpt: >-
              beneficiaries determined eligible for Medicaid coverage to begin on or before December
              31, 2013
        - path: versions[0].formula
          kind: effective_period
          source:
            corpus_citation_path: us/regulation/42/435/603/a
            excerpt: until March 31, 2014 or the next regularly-scheduled renewal
  versions:
    - effective_from: '2014-01-01'
      formula: |-
        beneficiary_coverage_began_on_or_before_legacy_transition_cutoff
        and not methodology_transition_date_has_arrived

magi_financial_methodologies_apply_for_medicaid_financial_eligibility

Derived

source: 42 CFR 435.603(a)

- name: magi_financial_methodologies_apply_for_medicaid_financial_eligibility
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.603(a)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/regulation/42/435/603/a
            excerpt: the agency must apply the financial methodologies set forth in this section
        - path: versions[0].formula
          kind: exception
          source:
            corpus_citation_path: us/regulation/42/435/603/a
            excerpt: except for individuals identified in paragraph (j)
        - path: versions[0].formula
          kind: import
          import:
            target: >-
              us:regulations/42-cfr/435/603/j#magi_based_methods_do_not_apply_for_medicaid_eligibility
            output: magi_based_methods_do_not_apply_for_medicaid_eligibility
            hash: sha256:987414bc1d8fdf701b3090f8e82829aa6e4fb1e852dbc6cca0ccf80ce02b9d9c
        - path: versions[0].formula
          kind: import
          import:
            target: us:regulations/42-cfr/435/603/a#legacy_beneficiary_methodology_transition_applies
            output: legacy_beneficiary_methodology_transition_applies
            hash: sha256:local
  versions:
    - effective_from: '2014-01-01'
      formula: |-
        individual_financial_eligibility_for_medicaid_being_determined
        and not magi_based_methods_do_not_apply_for_medicaid_eligibility
        and not legacy_beneficiary_methodology_transition_applies

▸citations (1)

References

This rule cites 1 other rule.

42 CFR § 435.916inferredUS Federal › Regulations › Title 42 › § 435 › (916)