---
kind: "section"
citation: "42 C.F.R. § 435.214"
title: "42"
number: "435.214"
heading: "Eligibility for Medicaid limited to family planning and related services."
url: "https://uscodex.org/cfr/42/435.214"
---

# §435.214. Eligibility for Medicaid limited to family planning and related services.

- (a) **Basis.** This section implements sections [1902(a)(10)(A)(ii)(XXI)](/cfr/42/1902.md?p=a-10-A-ii-XXI) and [1902(ii)](/cfr/42/1902.md?p=ii) and clause (XVI) in the matter following [section 1902(a)(10)(G)](/cfr/42/1902.md?p=a-10-G) of the Act.
- (b) **Eligibility.**
  - (1) The agency may provide Medicaid limited to the services described in [paragraph (d)](#d) of this section to individuals (of any gender) who—
    - (i) Are not pregnant; and
    - (ii) **Meet the income eligibility requirements at paragraph (c) of this section.**
  - (2) [Reserved]
- (c) **Income standard.**
  - (1) The income standard established in the State plan may not exceed the higher of the income standard for pregnant women in effect under—
    - (i) The Medicaid State plan in accordance with [§ 435.116](/cfr/42/435.116.md).
    - (ii) **A Medicaid demonstration under section 1115 of the Act.**
    - (iii) **The CHIP State plan under section 2112 of the Act.**
    - (iv) **A CHIP demonstration under section 1115 of the Act.**
  - (2) The individual's household income is determined in accordance with [§ 435.603](/cfr/42/435.603.md). The agency must indicate in its State plan the options selected by it under [§ 435.603(k)](/cfr/42/435.603.md?p=k).
- (d) **Covered services.** Individuals eligible under this section are covered for family planning and family planning-related benefits as described in clause (XVI) of the matter following [section 1902(a)(10)(G)](/cfr/42/1902.md?p=a-10-G) of the Act.

## Notes

### Amendments

[81 FR 86453, Nov. 30, 2016]

### Authority

Authority: 42 U.S.C. 1302.

### Source

Source: 43 FR 45204, Sept. 29, 1978, unless otherwise noted.

### Amendments

[81 FR 86453, Nov. 30, 2016]