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Individuals in institutions who are eligible under a special income level

2 rulesAll 2 subsections

(a)If the agency provides Medicaid under § 435.211 to…∀ 1#

(a) If the agency provides Medicaid under § 435.211 to individuals in institutions who would be eligible for AFDC, SSI, or State supplements except for their institutional status, it may also cover aged, blind, and disabled individuals in institutions who—

(1) Because of their income, would not be eligible for SSI or State supplements if they were not institutionalized; but

(2) Have income below a level specified in the plan under § 435.722. (See § 435.1005 for limitations on FFP in Medicaid expenditures for individuals specified in this section.)

(b)The agency may cover individuals under this section…∀ 1#

(b) The agency may cover individuals under this section whether or not the State pays optional supplements.

in view

Whole section

Encodings · 2

optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage42 CFR § 435.236 (b) · derived

42 CFR 435.236(b)

name: >-
  optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 435.236(b)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: predicate
        source:
          corpus_citation_path: us/regulation/42/435/236
          excerpt: whether or not the State pays optional supplements
versions:
  - effective_from: '2024-01-01'
    formula: 'true'

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institutional_special_income_level_medicaid_may_be_provided42 CFR § 435.236 (a) · derived

42 CFR 435.236(a)

name: institutional_special_income_level_medicaid_may_be_provided
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 435.236(a)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us/regulation/42/435/236
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us:regulations/42-cfr/435/236#optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage
          output: >-
            optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage
          hash: sha256:local
versions:
  - effective_from: '2024-01-01'
    formula: >-
      agency_provides_medicaid_under_section_435_211_to_institutional_individuals_who_would_be_eligible_except_institutional_status

      and person_is_in_institution

      and person_is_aged_blind_or_disabled

      and
      person_would_not_be_eligible_for_ssi_or_state_supplements_because_of_income_if_not_institutionalized

      and person_income_below_state_plan_level_under_section_435_722

      and
      optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage

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▸rulespec code

Shown source

regulations/42-cfr/435/236.yaml

Displaying the canonical repository encoding.

View on GitHub

Rules

optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage

Derived(b) in text ↖

source: 42 CFR 435.236(b)

- name: optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.236(b)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/regulation/42/435/236
            excerpt: whether or not the State pays optional supplements
  versions:
    - effective_from: '2024-01-01'
      formula: 'true'

institutional_special_income_level_medicaid_may_be_provided

Derived(a) in text ↖

source: 42 CFR 435.236(a)

- name: institutional_special_income_level_medicaid_may_be_provided
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.236(a)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us/regulation/42/435/236
        - path: versions[0].formula
          kind: import
          import:
            target: >-
              us:regulations/42-cfr/435/236#optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage
            output: >-
              optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage
            hash: sha256:local
  versions:
    - effective_from: '2024-01-01'
      formula: >-
        agency_provides_medicaid_under_section_435_211_to_institutional_individuals_who_would_be_eligible_except_institutional_status

        and person_is_in_institution

        and person_is_aged_blind_or_disabled

        and
        person_would_not_be_eligible_for_ssi_or_state_supplements_because_of_income_if_not_institutionalized

        and person_income_below_state_plan_level_under_section_435_722

        and
        optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage

▸citations (3)

References

This rule cites 3 other rules.

42 CFR § 435.211inferredUS Federal › Regulations › Title 42 › § 435 › (211)
42 CFR § 435.722inferredUS Federal › Regulations › Title 42 › § 435 › (722)
42 CFR § 435.1005inferredUS Federal › Regulations › Title 42 › § 435 › (1005)

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us/regulation/42/435/236 — Individuals in institutions who are eligible under a special income level · Axiom

Individuals in institutions who are eligible under a special income level

2 rulesAll 2 subsections

Official source

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(a)If the agency provides Medicaid under § 435.211 to…∀ 1#

(1) Because of their income, would not be eligible for SSI or State supplements if they were not institutionalized; but

(2) Have income below a level specified in the plan under § 435.722. (See § 435.1005 for limitations on FFP in Medicaid expenditures for individuals specified in this section.)

(b)The agency may cover individuals under this section…∀ 1#

(b) The agency may cover individuals under this section whether or not the State pays optional supplements.

in view

Whole section

Encodings · 2

optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage42 CFR § 435.236 (b) · derived

42 CFR 435.236(b)

name: >-
  optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 435.236(b)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: predicate
        source:
          corpus_citation_path: us/regulation/42/435/236
          excerpt: whether or not the State pays optional supplements
versions:
  - effective_from: '2024-01-01'
    formula: 'true'

open in graph ↗

institutional_special_income_level_medicaid_may_be_provided42 CFR § 435.236 (a) · derived

42 CFR 435.236(a)

name: institutional_special_income_level_medicaid_may_be_provided
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 435.236(a)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us/regulation/42/435/236
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us:regulations/42-cfr/435/236#optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage
          output: >-
            optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage
          hash: sha256:local
versions:
  - effective_from: '2024-01-01'
    formula: >-
      agency_provides_medicaid_under_section_435_211_to_institutional_individuals_who_would_be_eligible_except_institutional_status

      and person_is_in_institution

      and person_is_aged_blind_or_disabled

      and
      person_would_not_be_eligible_for_ssi_or_state_supplements_because_of_income_if_not_institutionalized

      and person_income_below_state_plan_level_under_section_435_722

      and
      optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage

open in graph ↗

▸rulespec code

Shown source

regulations/42-cfr/435/236.yaml

Displaying the canonical repository encoding.

View on GitHub

Rules

optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage

Derived(b) in text ↖

source: 42 CFR 435.236(b)

- name: optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.236(b)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/regulation/42/435/236
            excerpt: whether or not the State pays optional supplements
  versions:
    - effective_from: '2024-01-01'
      formula: 'true'

institutional_special_income_level_medicaid_may_be_provided

Derived(a) in text ↖

source: 42 CFR 435.236(a)

- name: institutional_special_income_level_medicaid_may_be_provided
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.236(a)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us/regulation/42/435/236
        - path: versions[0].formula
          kind: import
          import:
            target: >-
              us:regulations/42-cfr/435/236#optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage
            output: >-
              optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage
            hash: sha256:local
  versions:
    - effective_from: '2024-01-01'
      formula: >-
        agency_provides_medicaid_under_section_435_211_to_institutional_individuals_who_would_be_eligible_except_institutional_status

        and person_is_in_institution

        and person_is_aged_blind_or_disabled

        and
        person_would_not_be_eligible_for_ssi_or_state_supplements_because_of_income_if_not_institutionalized

        and person_income_below_state_plan_level_under_section_435_722

        and
        optional_state_supplement_payment_not_required_for_institutional_special_income_level_coverage

▸citations (3)

References

This rule cites 3 other rules.

42 CFR § 435.211inferredUS Federal › Regulations › Title 42 › § 435 › (211)
42 CFR § 435.722inferredUS Federal › Regulations › Title 42 › § 435 › (722)
42 CFR § 435.1005inferredUS Federal › Regulations › Title 42 › § 435 › (1005)