---
kind: "section"
citation: "42 C.F.R. § 435.229"
title: "42"
number: "435.229"
heading: "Optional targeted low-income children."
url: "https://uscodex.org/cfr/42/435.229"
---

# §435.229. Optional targeted low-income children.

- (a) **Basis.** This section implements [section 1902(a)(10)(A)(ii)(XIV)](/cfr/42/1902.md?p=a-10-A-ii-XIV) of the Act.
- (b) **Eligibility.** The agency may provide Medicaid to individuals under age 19, or at State option within a range of ages under age 19 established in the State plan, who meet the definition of an optional targeted low-income child in [§ 435.4](/cfr/42/435.4.md) and have household income at or below the income standard established by the agency in its State plan in accordance with [paragraph (c)](#c) of this section.
- (c) **Income standard.** The income standard established under this section may not exceed the higher of—
  - (1) 200 percent of the Federal poverty level (FPL);
  - (2) A percentage of the FPL which exceeds the State's Medicaid applicable income level, defined at [§ 457.10](/cfr/42/457.10.md) of this chapter, by no more than 50 percentage points (converted to a MAGI-equivalent standard in accordance with guidance issued by the Secretary under section 1902(e)(14)(A) and (E) of the Act); and
  - (3) The highest effective income level for coverage of such individuals under the Medicaid State plan or demonstration program under section 1115 of the Act or for coverage of targeted low-income children, defined in [§ 457.10](/cfr/42/457.10.md) of this chapter, under the CHIP State plan or demonstration program under section 1115 of the Act, as of March 23, 2010, or December 31, 2013, converted to a MAGI-equivalent standard in accordance with guidance issued by the Secretary under section [1902(e)(14)(A)](/cfr/42/1902.md?p=e-14-A) and [(E)](/cfr/42/1902.md?p=e-14-E) of the Act.

## Notes

### Amendments

[81 FR 86454, Nov. 30, 2016]

### Authority

Authority: 42 U.S.C. 1302.

### Source

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

### Amendments

[81 FR 86454, Nov. 30, 2016]