Definitions
For purposes of this section:
(1) Presumptive eligibility period
(1)Presumptive eligibility period#
The term “presumptive eligibility period” means, with respect to an individual described in subsection (a), the period that—
(A) begins with the date on which a qualified entity determines, on the basis of preliminary information, that the individual is described in section 1396a(aa) of this title ; and
(B) ends with (and includes) the earlier of— (i) the day on which a determination is made with respect to the eligibility of such individual for services under the State plan; or (ii) in the case of such an individual who does not file an application by the last day of the month following the month during which the entity makes the determination referred to in subparagraph (A), such last day.
(1)(A)#
begins with the date on which a qualified entity determines, on the basis of preliminary information, that the individual is described in section 1396a(aa) of this title ; and
(1)(B)#
ends with (and includes) the earlier of—
(i) the day on which a determination is made with respect to the eligibility of such individual for services under the State plan; or
(ii) in the case of such an individual who does not file an application by the last day of the month following the month during which the entity makes the determination referred to in subparagraph (A), such last day.
(2)Qualified entity#
(A) In general Subject to subparagraph (B), the term “qualified entity” means any entity that— (i) is eligible for payments under a State plan approved under this subchapter; and (ii) is determined by the State agency to be capable of making determinations of the type described in paragraph (1)(A).
(B) Regulations The Secretary may issue regulations further limiting those entities that may become qualified entities in order to prevent fraud and abuse and for other reasons.
(C) Rule of construction Nothing in this paragraph shall be construed as preventing a State from limiting the classes of entities that may become qualified entities, consistent with any limitations imposed under subparagraph (B).
(2)(A)In general#
Subject to subparagraph (B), the term “qualified entity” means any entity that—
(i) is eligible for payments under a State plan approved under this subchapter; and
(ii) is determined by the State agency to be capable of making determinations of the type described in paragraph (1)(A).
(2)(A)(i)#
is eligible for payments under a State plan approved under this subchapter; and