us/regulation/42/435/603/c

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2 rules

(c) Basic rule. Except as specified in paragraph (i), (j), and (k) of this section, the agency must determine financial eligibility for Medicaid based on “household income” as defined in paragraph (d) of this section.

in view

Whole section

Encodings · 2

paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility42 CFR § 435.603 (c) · derived

42 CFR 435.603(c)

name: paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 435.603(c)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: exception
        source:
          corpus_citation_path: us/regulation/42/435/603/c
          excerpt: Except as specified in paragraph (i), (j), and (k)
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us:regulations/42-cfr/435/603/k#section_435_214_individual_only_household_treatment_applies
          output: section_435_214_individual_only_household_treatment_applies
          hash: >-
            sha256:8f4fbfa9ef519c41f2038c43f965f700c8a4e9bf619908003f4d413bee46462d
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us:regulations/42-cfr/435/603/k#section_435_214_count_only_individual_magi_based_income_treatment_applies
          output: >-
            section_435_214_count_only_individual_magi_based_income_treatment_applies
          hash: >-
            sha256:8f4fbfa9ef519c41f2038c43f965f700c8a4e9bf619908003f4d413bee46462d
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us:regulations/42-cfr/435/603/k#section_435_214_family_size_increase_treatment_applies
          output: section_435_214_family_size_increase_treatment_applies
          hash: >-
            sha256:8f4fbfa9ef519c41f2038c43f965f700c8a4e9bf619908003f4d413bee46462d
versions:
  - effective_from: '2014-01-01'
    formula: >-
      section_435_214_individual_only_household_treatment_applies

      or
      section_435_214_count_only_individual_magi_based_income_treatment_applies

      or section_435_214_family_size_increase_treatment_applies

open in graph ↗

paragraph_d_household_income_basis_required_for_medicaid_financial_eligibility42 CFR § 435.603 (c) · derived

42 CFR 435.603(c)

name: paragraph_d_household_income_basis_required_for_medicaid_financial_eligibility
kind: derived
entity: Household
dtype: Judgment
period: Month
source: 42 CFR 435.603(c)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: predicate
        source:
          corpus_citation_path: us/regulation/42/435/603/c
          excerpt: >-
            the agency must determine financial eligibility for Medicaid based
            on "household income"
      - path: versions[0].formula
        kind: exception
        source:
          corpus_citation_path: us/regulation/42/435/603/c
          excerpt: Except as specified in paragraph (i), (j), and (k)
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us:regulations/42-cfr/435/603/i#alternative_household_income_method_required_for_medicaid_financial_eligibility
          output: >-
            alternative_household_income_method_required_for_medicaid_financial_eligibility
          hash: >-
            sha256:2ace4d8d6b4b304ab607c4f7b476f93f3607fabd03aae05d82afc544b2378fd4
      - 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/c#paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility
          output: >-
            paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility
          hash: sha256:local
versions:
  - effective_from: '2014-01-01'
    formula: >-
      medicaid_financial_eligibility_being_determined

      and not
      alternative_household_income_method_required_for_medicaid_financial_eligibility

      and not magi_based_methods_do_not_apply_for_medicaid_eligibility

      and not
      paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility

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▸rulespec code

Shown source

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

Displaying the canonical repository encoding.

View on GitHub

Rules

paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility

Derived

source: 42 CFR 435.603(c)

- name: paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.603(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: exception
          source:
            corpus_citation_path: us/regulation/42/435/603/c
            excerpt: Except as specified in paragraph (i), (j), and (k)
        - path: versions[0].formula
          kind: import
          import:
            target: >-
              us:regulations/42-cfr/435/603/k#section_435_214_individual_only_household_treatment_applies
            output: section_435_214_individual_only_household_treatment_applies
            hash: sha256:8f4fbfa9ef519c41f2038c43f965f700c8a4e9bf619908003f4d413bee46462d
        - path: versions[0].formula
          kind: import
          import:
            target: >-
              us:regulations/42-cfr/435/603/k#section_435_214_count_only_individual_magi_based_income_treatment_applies
            output: section_435_214_count_only_individual_magi_based_income_treatment_applies
            hash: sha256:8f4fbfa9ef519c41f2038c43f965f700c8a4e9bf619908003f4d413bee46462d
        - path: versions[0].formula
          kind: import
          import:
            target: us:regulations/42-cfr/435/603/k#section_435_214_family_size_increase_treatment_applies
            output: section_435_214_family_size_increase_treatment_applies
            hash: sha256:8f4fbfa9ef519c41f2038c43f965f700c8a4e9bf619908003f4d413bee46462d
  versions:
    - effective_from: '2014-01-01'
      formula: |-
        section_435_214_individual_only_household_treatment_applies
        or section_435_214_count_only_individual_magi_based_income_treatment_applies
        or section_435_214_family_size_increase_treatment_applies

paragraph_d_household_income_basis_required_for_medicaid_financial_eligibility

Derived

source: 42 CFR 435.603(c)

- name: paragraph_d_household_income_basis_required_for_medicaid_financial_eligibility
  kind: derived
  entity: Household
  dtype: Judgment
  period: Month
  source: 42 CFR 435.603(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/regulation/42/435/603/c
            excerpt: >-
              the agency must determine financial eligibility for Medicaid based on "household
              income"
        - path: versions[0].formula
          kind: exception
          source:
            corpus_citation_path: us/regulation/42/435/603/c
            excerpt: Except as specified in paragraph (i), (j), and (k)
        - path: versions[0].formula
          kind: import
          import:
            target: >-
              us:regulations/42-cfr/435/603/i#alternative_household_income_method_required_for_medicaid_financial_eligibility
            output: alternative_household_income_method_required_for_medicaid_financial_eligibility
            hash: sha256:2ace4d8d6b4b304ab607c4f7b476f93f3607fabd03aae05d82afc544b2378fd4
        - 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/c#paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility
            output: paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility
            hash: sha256:local
  versions:
    - effective_from: '2014-01-01'
      formula: |-
        medicaid_financial_eligibility_being_determined
        and not alternative_household_income_method_required_for_medicaid_financial_eligibility
        and not magi_based_methods_do_not_apply_for_medicaid_eligibility
        and not paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility

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us/regulation/42/435/603/c · Axiom

2 rules

Official source

graph ↗build calculator ↗

in view

Whole section

Encodings · 2

paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility42 CFR § 435.603 (c) · derived

42 CFR 435.603(c)

name: paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 435.603(c)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: exception
        source:
          corpus_citation_path: us/regulation/42/435/603/c
          excerpt: Except as specified in paragraph (i), (j), and (k)
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us:regulations/42-cfr/435/603/k#section_435_214_individual_only_household_treatment_applies
          output: section_435_214_individual_only_household_treatment_applies
          hash: >-
            sha256:8f4fbfa9ef519c41f2038c43f965f700c8a4e9bf619908003f4d413bee46462d
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us:regulations/42-cfr/435/603/k#section_435_214_count_only_individual_magi_based_income_treatment_applies
          output: >-
            section_435_214_count_only_individual_magi_based_income_treatment_applies
          hash: >-
            sha256:8f4fbfa9ef519c41f2038c43f965f700c8a4e9bf619908003f4d413bee46462d
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us:regulations/42-cfr/435/603/k#section_435_214_family_size_increase_treatment_applies
          output: section_435_214_family_size_increase_treatment_applies
          hash: >-
            sha256:8f4fbfa9ef519c41f2038c43f965f700c8a4e9bf619908003f4d413bee46462d
versions:
  - effective_from: '2014-01-01'
    formula: >-
      section_435_214_individual_only_household_treatment_applies

      or
      section_435_214_count_only_individual_magi_based_income_treatment_applies

      or section_435_214_family_size_increase_treatment_applies

open in graph ↗

paragraph_d_household_income_basis_required_for_medicaid_financial_eligibility42 CFR § 435.603 (c) · derived

42 CFR 435.603(c)

name: paragraph_d_household_income_basis_required_for_medicaid_financial_eligibility
kind: derived
entity: Household
dtype: Judgment
period: Month
source: 42 CFR 435.603(c)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: predicate
        source:
          corpus_citation_path: us/regulation/42/435/603/c
          excerpt: >-
            the agency must determine financial eligibility for Medicaid based
            on "household income"
      - path: versions[0].formula
        kind: exception
        source:
          corpus_citation_path: us/regulation/42/435/603/c
          excerpt: Except as specified in paragraph (i), (j), and (k)
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us:regulations/42-cfr/435/603/i#alternative_household_income_method_required_for_medicaid_financial_eligibility
          output: >-
            alternative_household_income_method_required_for_medicaid_financial_eligibility
          hash: >-
            sha256:2ace4d8d6b4b304ab607c4f7b476f93f3607fabd03aae05d82afc544b2378fd4
      - 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/c#paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility
          output: >-
            paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility
          hash: sha256:local
versions:
  - effective_from: '2014-01-01'
    formula: >-
      medicaid_financial_eligibility_being_determined

      and not
      alternative_household_income_method_required_for_medicaid_financial_eligibility

      and not magi_based_methods_do_not_apply_for_medicaid_eligibility

      and not
      paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility

open in graph ↗

▸rulespec code

Shown source

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

Displaying the canonical repository encoding.

View on GitHub

Rules

paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility

Derived

source: 42 CFR 435.603(c)

- name: paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 435.603(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: exception
          source:
            corpus_citation_path: us/regulation/42/435/603/c
            excerpt: Except as specified in paragraph (i), (j), and (k)
        - path: versions[0].formula
          kind: import
          import:
            target: >-
              us:regulations/42-cfr/435/603/k#section_435_214_individual_only_household_treatment_applies
            output: section_435_214_individual_only_household_treatment_applies
            hash: sha256:8f4fbfa9ef519c41f2038c43f965f700c8a4e9bf619908003f4d413bee46462d
        - path: versions[0].formula
          kind: import
          import:
            target: >-
              us:regulations/42-cfr/435/603/k#section_435_214_count_only_individual_magi_based_income_treatment_applies
            output: section_435_214_count_only_individual_magi_based_income_treatment_applies
            hash: sha256:8f4fbfa9ef519c41f2038c43f965f700c8a4e9bf619908003f4d413bee46462d
        - path: versions[0].formula
          kind: import
          import:
            target: us:regulations/42-cfr/435/603/k#section_435_214_family_size_increase_treatment_applies
            output: section_435_214_family_size_increase_treatment_applies
            hash: sha256:8f4fbfa9ef519c41f2038c43f965f700c8a4e9bf619908003f4d413bee46462d
  versions:
    - effective_from: '2014-01-01'
      formula: |-
        section_435_214_individual_only_household_treatment_applies
        or section_435_214_count_only_individual_magi_based_income_treatment_applies
        or section_435_214_family_size_increase_treatment_applies

paragraph_d_household_income_basis_required_for_medicaid_financial_eligibility

Derived

source: 42 CFR 435.603(c)

- name: paragraph_d_household_income_basis_required_for_medicaid_financial_eligibility
  kind: derived
  entity: Household
  dtype: Judgment
  period: Month
  source: 42 CFR 435.603(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/regulation/42/435/603/c
            excerpt: >-
              the agency must determine financial eligibility for Medicaid based on "household
              income"
        - path: versions[0].formula
          kind: exception
          source:
            corpus_citation_path: us/regulation/42/435/603/c
            excerpt: Except as specified in paragraph (i), (j), and (k)
        - path: versions[0].formula
          kind: import
          import:
            target: >-
              us:regulations/42-cfr/435/603/i#alternative_household_income_method_required_for_medicaid_financial_eligibility
            output: alternative_household_income_method_required_for_medicaid_financial_eligibility
            hash: sha256:2ace4d8d6b4b304ab607c4f7b476f93f3607fabd03aae05d82afc544b2378fd4
        - 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/c#paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility
            output: paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility
            hash: sha256:local
  versions:
    - effective_from: '2014-01-01'
      formula: |-
        medicaid_financial_eligibility_being_determined
        and not alternative_household_income_method_required_for_medicaid_financial_eligibility
        and not magi_based_methods_do_not_apply_for_medicaid_eligibility
        and not paragraph_k_special_methodology_specified_for_medicaid_financial_eligibility