§435.212. Individuals who would be ineligible if they were not enrolled in an MCO or PCCM.
42 C.F.R. § 435.212
The State agency may provide that a beneficiary who is enrolled in an MCO or PCCM and who becomes ineligible for Medicaid is considered to continue to be eligible—
For a period specified by the agency, ending no later than 6 months from the date of enrollment; and
Except for family planning services (which the beneficiary may obtain from any qualified provider) only for services furnished to him or her as an MCO enrollee.
Notes, amendments, and revision history
Amendments
[56 FR 8849, Mar. 1, 1991, as amended at 67 FR 41095, June 14, 2002]
Authority
Authority: 42 U.S.C. 1302.
Source
Source: 43 FR 45204, Sept. 29, 1978, unless otherwise noted.
Amendments
[56 FR 8849, Mar. 1, 1991, as amended at 67 FR 41095, June 14, 2002]