Medicaid program; Medicaid eligibility and coverage criteria--Health Care Financing Administration. Interim final rule with comment period.
This rule amends current regulations that contain requirements States must follow in establishing eligibility criteria for the medically needy recipients under Medicaid (title XIX of the Social Security Act) and in providing services for those individuals. It also makes certain changes with respect to categorically needy persons. This rule implements sections 2171 and 2172 of the Omnibus Budget Reconciliation Act of 1981 (Pub. L 97-35). That law gives States considerable flexibility in establishing eligibility criteria and scope of services for the medically needy. These final regulations; (1) specify whom the State must include among the medically needy if it provides for that group in the Medicaid program: (2) provide the State with flexibility in determining what additional persons will be included among the medically needy; (3) specify what services must be provided for the medically needy; and (4) require the State to include specified groups of individuals (certain children, pregnant women, and persons in certain work programs) among the categorically needy.
D004608:Eligibility Determination / Q000331:legislation & jurisprudence*; D008484:Medicaid / Q000331:legislation & jurisprudence*; D014481:United States