---
kind: "section"
citation: "42 C.F.R. § 435.212"
title: "42"
number: "435.212"
heading: "Individuals who would be ineligible if they were not enrolled in an MCO or PCCM."
url: "https://uscodex.org/cfr/42/435.212"
---

# §435.212. Individuals who would be ineligible if they were not enrolled in an MCO or PCCM.


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—

- (a) For a period specified by the agency, ending no later than 6 months from the date of enrollment; and
- (b) 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

[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]