42 CFR 435.4 - Definitions and use of terms
| Cite as | 42 CFR 435.4 |
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56 practice notes
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Medicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing
...in section 214 of the Children's Health Insurance Program Reauthorization Act (Pub. L. 111-3, enacted on February 4, 2009) (CHIPRA). As 42 CFR 435.4 of the Medicaid proposed provisions implements the CHIPRA definition by defining the term, ``lawfully present'', we are proposing to adjust ou......
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Lewis v. Grinker, No. CV-79-1740-CPS.
...of individuals: the "categorically needy," 42 U.S.C. § 1396a(a)(10)(A), and the "medically needy," id. § 1396a(a)(10)(C). See also 42 C.F.R. § 435.4; DeJesus, 770 F.2d at 318.1 "Roughly speaking, the categorically needy are those who earn no more than that necessary to cover the necessities......
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Calkins v. Blum, No. 78-IV-145.
...SSI program, 42 U.S.C. §§ 1381-1383c, or under the Aid to Families with Dependent Children AFDC program, 42 U.S.C. §§ 601-644. See 42 C.F.R. § 435.4 (amended 45 Fed.Reg. 24883, April 11, 1980). Pursuant to 42 U.S.C. § 1396a(a)(10)(C), a participating State may provide medicaid benefits to t......
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Rosen v. Tennessee Com'R of Finance and Admin., No. 3:98-0627.
...because they are eligible for Aid to Families with Dependent Children ("AFDC") or Supplemental Security Income ("SSI") benefits. 42 C.F.R. § 435.4 (1983). Also included within this class are individuals who are excluded from AFDC or SSI because of an eligibility requirement that does not ap......
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45 cases
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Lewis v. Grinker, No. CV-79-1740-CPS.
...of individuals: the "categorically needy," 42 U.S.C. § 1396a(a)(10)(A), and the "medically needy," id. § 1396a(a)(10)(C). See also 42 C.F.R. § 435.4; DeJesus, 770 F.2d at 318.1 "Roughly speaking, the categorically needy are those who earn no more than that necessary to cover the necessities......
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Calkins v. Blum, No. 78-IV-145.
...SSI program, 42 U.S.C. §§ 1381-1383c, or under the Aid to Families with Dependent Children AFDC program, 42 U.S.C. §§ 601-644. See 42 C.F.R. § 435.4 (amended 45 Fed.Reg. 24883, April 11, 1980). Pursuant to 42 U.S.C. § 1396a(a)(10)(C), a participating State may provide medicaid benefits to t......
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Rosen v. Tennessee Com'R of Finance and Admin., No. 3:98-0627.
...because they are eligible for Aid to Families with Dependent Children ("AFDC") or Supplemental Security Income ("SSI") benefits. 42 C.F.R. § 435.4 (1983). Also included within this class are individuals who are excluded from AFDC or SSI because of an eligibility requirement that does not ap......
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Conley v. Dep't of Health, No. 20100496–CA.
...in need under the State's standards for financial eligibility, and includes aged, blind, disabled, or needy with dependent children. See42 C.F.R. § 435.4. The term “medically needy” includes the aged, blind, and disabled, and refers to those individuals who do not qualify for some forms of ......
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1 firm's commentaries
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Coverage Options for Massachusetts: Leveraging the Affordable Care Act
...Medicaid Policy Institute (MMPI), April 2015; Massachusetts Health Connector, February Health Connector Summary Report, March 2015. Per 42 CFR 435.4, insurance affordability programs include a state’s Medicaid program, Children’s Health Insurance Program, Basic Health Program, and programs ......
6 provisions
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P.A. 22-0118, HB 5506 – AN ACT ADJUSTING THE STATE BUDGET FOR THE BIENNIUM ENDING JUNE 30, 2023, CONCERNING PROVISIONS RELATED TO REVENUE, SCHOOL CONSTRUCTION AND OTHER ITEMS TO IMPLEMENT THE STATE BUDGET AND AUTHORIZING AND ADJUSTING BONDS OF THE STATE
...ineligibility and advising such persons of their potential eligibility for one of the other insurance affordability programs as defined in 42 CFR 435.4.Sec. 238. (Effective July 1, 2022) For the fiscal year ending June 30, 2023, the Commissioner of Social Services shall amend the Medicaid s......
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SL 74, HB 103 – 2022 Appropriations Act
...by subdivision (1) of Section 5 of this act or another federal authority to allow a parent or caretaker relative, as defined in 42 C.F.R. § 435.4, to retain Medicaid eligibility when (i) the parent or caretaker relative has lost custody of a child pursuant to Subchapter I of Chapter 7B of t......
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P.A. 19-0117, HB 7424 – AN ACT CONCERNING THE STATE BUDGET FOR THE BIENNIUM ENDING JUNE 30, 2021, AND MAKING APPROPRIATIONS THEREFOR, AND PROVISIONS RELATED TO REVENUE AND OTHER ITEMS TO IMPLEMENT THE STATE BUDGET
...ineligibility and advising such persons of their potential eligibility for one of the other insurance affordability programs as defined in 42 CFR 435.4.Sec. 317. Subdivision (1) of section 12-408 of the general statutes is repealed and the following is substituted in lieu thereof (Effective......
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File 159, SB 332 – Implement infant mortality recommendations
...information the department considers pertinent.Sec. 5163.01. As used in this chapter:"Caretaker relative" has the same meaning as in 42 C.F.R. 435.4 as that regulation is amended effective January 1, 2014."Children's hospital" has the same meaning as in section 2151.86 of the Revised Code."......
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