us/regulation/42/435/603/a/1

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Official source

(1) This section implements section 1902(e)(14) of the Act.

in view

Whole section

▸rulespec code

Shown source

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

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us/regulation/42/435/603/a/1 · Axiom

Official source

(1) This section implements section 1902(e)(14) of the Act.

in view

Whole section

▸rulespec code

Shown source

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

Displaying the canonical repository encoding.

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

View on GitHub

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