Subpart J. Subpart J—Eligibility in the States and District of Columbia

• § 435.900 - Scope.

• General Methods of Administration

  • SECTION § 435.901 - Consistency with objectives and statutes.
  • SECTION § 435.902 - Simplicity of administration.
  • SECTION § 435.903 - Adherence of local agencies to State plan requirements.
  • SECTION § 435.904 - Establishment of outstation locations to process applications for certain low-income eligibility groups.

• Applications

  • SECTION § 435.905 - Availability and accessibility of program information.
  • SECTION § 435.906 - Opportunity to apply.
  • SECTION § 435.907 - Application.
  • SECTION § 435.908 - Assistance with application and renewal.
  • SECTION § 435.909 - Automatic entitlement to Medicaid following a determination of eligibility under other programs.
  • SECTION § 435.910 - Use of social security number.

• Determination of Medicaid Eligibility

  • SECTION § 435.911 - Determination of eligibility.
  • SECTION § 435.912 - Timely determination and redetermination of eligibility.
  • SECTION § 435.914 - Case documentation.
  • SECTION § 435.915 - Effective date.

• Redeterminations of Medicaid Eligibility

  • SECTION § 435.916 - Regularly scheduled renewals of Medicaid eligibility.
  • SECTION § 435.917 - Notice of agency's decision concerning eligibility, benefits, or services.
  • SECTION § 435.918 - Use of electronic notices.
  • SECTION § 435.919 - Changes in circumstances.
  • SECTION § 435.920 - Verification of SSNs.
  • SECTION § 435.923 - Authorized representatives.
  • SECTION § 435.926 - Continuous eligibility for children.
  • SECTION § 435.927 - Requirements for States to submit certain data on redeterminations.
  • SECTION § 435.928 - Reduction in FMAP for failure to submit certain data.

• Furnishing Medicaid

  • SECTION § 435.930 - Furnishing Medicaid.

• Income and Eligibility Verification Requirements

  • SECTION § 435.940 - Basis and scope.
  • SECTION § 435.945 - General requirements.
  • SECTION § 435.948 - Verifying financial information.
  • SECTION § 435.949 - Verification of information through an electronic service.
  • SECTION § 435.952 - Use of information and requests of additional information from individuals.
  • SECTION § 435.956 - Verification of other non-financial information.
  • SECTION § 435.960 - Standardized formats for furnishing and obtaining information to verifying income and eligibility.
  • SECTION § 435.965 - Delay of effective date.