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us/regulation/42/457/960 — Reporting changes in eligibility and redetermining eligibility · Axiom

Reporting changes in eligibility and redetermining eligibility

2 rules

Sec. 457.960 Reporting changes in eligibility and redetermining eligibility.

If the State requires reporting of changes in circumstances that may affect the enrollee's eligibility for child health assistance, the State must--

(a) Establish procedures to ensure that enrollees make timely and accurate reports of any such change; and

(b) Promptly redetermine eligibility when the State has information about these changes.

(c) This section sunsets on October 1, 2034. CMS will follow applicable rulemaking procedures to ensure that policy governing changes in circumstances and redeterminations of CHIP eligibility are implemented and effective on October 1, 2034, replacing the policy scheduled to sunset on that date for the period until October 1, 2034.

in view

Whole section

Encodings · 2

chip_change_reporting_procedures_required42 CFR § 457.960 (a) · derived

42 CFR 457.960(a)

name: chip_change_reporting_procedures_required
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 457.960(a)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us/regulation/42/457/960
          excerpt: If the State requires reporting of changes in circumstances
      - path: versions[0].formula
        kind: predicate
        source:
          corpus_citation_path: us/regulation/42/457/960
          excerpt: >-
            Establish procedures to ensure that enrollees make timely and
            accurate reports
versions:
  - effective_from: '0001-01-01'
    formula: >-
      state_requires_reporting_of_changes_affecting_child_health_assistance_eligibility

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chip_eligibility_redetermination_required_after_change_information42 CFR § 457.960 (b) · derived

42 CFR 457.960(b)

name: chip_eligibility_redetermination_required_after_change_information
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 457.960(b)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us/regulation/42/457/960
          excerpt: >-
            Promptly redetermine eligibility when the State has information
            about these changes
versions:
  - effective_from: '0001-01-01'
    formula: >-
      state_requires_reporting_of_changes_affecting_child_health_assistance_eligibility

      and
      state_has_information_about_changes_affecting_child_health_assistance_eligibility

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▸rulespec code

Shown source

regulations/42-cfr/457/960.yaml

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View on GitHub

Rules

chip_change_reporting_procedures_required

Derived(a) in text ↖

source: 42 CFR 457.960(a)

- name: chip_change_reporting_procedures_required
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 457.960(a)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us/regulation/42/457/960
            excerpt: If the State requires reporting of changes in circumstances
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/regulation/42/457/960
            excerpt: Establish procedures to ensure that enrollees make timely and accurate reports
  versions:
    - effective_from: '0001-01-01'
      formula: state_requires_reporting_of_changes_affecting_child_health_assistance_eligibility

chip_eligibility_redetermination_required_after_change_information

Derived(b) in text ↖

source: 42 CFR 457.960(b)

- name: chip_eligibility_redetermination_required_after_change_information
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 457.960(b)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us/regulation/42/457/960
            excerpt: Promptly redetermine eligibility when the State has information about these changes
  versions:
    - effective_from: '0001-01-01'
      formula: |-
        state_requires_reporting_of_changes_affecting_child_health_assistance_eligibility
        and state_has_information_about_changes_affecting_child_health_assistance_eligibility

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Reporting changes in eligibility and redetermining eligibility

2 rules

Official source

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Sec. 457.960 Reporting changes in eligibility and redetermining eligibility.

If the State requires reporting of changes in circumstances that may affect the enrollee's eligibility for child health assistance, the State must--

(a) Establish procedures to ensure that enrollees make timely and accurate reports of any such change; and

(b) Promptly redetermine eligibility when the State has information about these changes.

in view

Whole section

Encodings · 2

chip_change_reporting_procedures_required42 CFR § 457.960 (a) · derived

42 CFR 457.960(a)

name: chip_change_reporting_procedures_required
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 457.960(a)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us/regulation/42/457/960
          excerpt: If the State requires reporting of changes in circumstances
      - path: versions[0].formula
        kind: predicate
        source:
          corpus_citation_path: us/regulation/42/457/960
          excerpt: >-
            Establish procedures to ensure that enrollees make timely and
            accurate reports
versions:
  - effective_from: '0001-01-01'
    formula: >-
      state_requires_reporting_of_changes_affecting_child_health_assistance_eligibility

open in graph ↗

chip_eligibility_redetermination_required_after_change_information42 CFR § 457.960 (b) · derived

42 CFR 457.960(b)

name: chip_eligibility_redetermination_required_after_change_information
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 42 CFR 457.960(b)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us/regulation/42/457/960
          excerpt: >-
            Promptly redetermine eligibility when the State has information
            about these changes
versions:
  - effective_from: '0001-01-01'
    formula: >-
      state_requires_reporting_of_changes_affecting_child_health_assistance_eligibility

      and
      state_has_information_about_changes_affecting_child_health_assistance_eligibility

open in graph ↗

▸rulespec code

Shown source

regulations/42-cfr/457/960.yaml

Displaying the canonical repository encoding.

View on GitHub

Rules

chip_change_reporting_procedures_required

Derived(a) in text ↖

source: 42 CFR 457.960(a)

- name: chip_change_reporting_procedures_required
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 457.960(a)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us/regulation/42/457/960
            excerpt: If the State requires reporting of changes in circumstances
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/regulation/42/457/960
            excerpt: Establish procedures to ensure that enrollees make timely and accurate reports
  versions:
    - effective_from: '0001-01-01'
      formula: state_requires_reporting_of_changes_affecting_child_health_assistance_eligibility

chip_eligibility_redetermination_required_after_change_information

Derived(b) in text ↖

source: 42 CFR 457.960(b)

- name: chip_eligibility_redetermination_required_after_change_information
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 CFR 457.960(b)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us/regulation/42/457/960
            excerpt: Promptly redetermine eligibility when the State has information about these changes
  versions:
    - effective_from: '0001-01-01'
      formula: |-
        state_requires_reporting_of_changes_affecting_child_health_assistance_eligibility
        and state_has_information_about_changes_affecting_child_health_assistance_eligibility