---
kind: "section"
citation: "42 C.F.R. § 435.553"
title: "42"
number: "435.553"
heading: "Mandatory exceptions for certain applicable individuals."
url: "https://uscodex.org/cfr/42/435.553"
---

# §435.553. Mandatory exceptions for certain applicable individuals.


A State must deem an applicable individual to have demonstrated community engagement under [§ 435.552](/cfr/42/435.552.md) 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)](/cfr/42/1902.md?p=a-10-A-i-I..a-10-A-i-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](/cfr/42/435.554.md).
- (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

### Source

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

### Authority

Authority: 42 U.S.C. 1302.

### Source

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