§435.553. Mandatory exceptions for certain applicable individuals.

42 C.F.R. § 435.553

A State must deem an applicable individual to have demonstrated community engagement under § 435.552 for a month if—

(a)

For part or all of that month, the individual was—

(1)

Under the age of 19 years;

(2)

Entitled to or enrolled for Medicare benefits under part A or enrolled for benefits under part B of title XVIII of the Act;

(3)

Described in any mandatory coverage groups in subclauses (I) through (VII) of section 1902(a)(10)(A)(i) of the Act under the Medicaid State plan; or,

(4)

A specified excluded individual as defined at § 435.554.

(b)

At any point during the 3-month period ending on the first day of that month, the individual was an inmate of a public institution.

Notes, amendments, and revision history

Source: 91 FR 33469, June 3, 2026, unless otherwise noted.

Authority: 42 U.S.C. 1302.

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