---
kind: "section"
citation: "42 C.F.R. § 440.220"
title: "42"
number: "440.220"
heading: "Required services for the medically needy."
url: "https://uscodex.org/cfr/42/440.220"
---

# §440.220. Required services for the medically needy.

- (a) A State plan that includes the medically needy must specify that the medically needy are provided, as a minimum, the following services:
  - (1) **Prenatal care and delivery services for pregnant women.**
  - (2) **Ambulatory services, as defined in the State plan, for—**
    - (i) Individuals under age 18; and
    - (ii) **Groups of individuals entitled to institutional services.**
  - (3) Home health services ([§ 440.70](/cfr/42/440.70.md)) to any individual entitled to skilled nursing facility services.
  - (4) If the State plan includes services in an institution for mental diseases ([§ 440.140](/cfr/42/440.140.md) or [§ 440.160](/cfr/42/440.160.md)) or in an intermediate care facility for Individuals with Intellectual Disabilities ([§ 440.150(c)](/cfr/42/440.150.md?p=c)) for any group of medically needy, either of the following sets of services to each of the medically needy groups:
    - (i) The services contained in [§§ 440.10 through 440.50](/cfr/42/440.10..440.50.md) and (to the extent nurse-midwives are authorized to practice under State law or regulation) [§ 440.165](/cfr/42/440.165.md); or
    - (ii) The services contained in any seven of the sections in [§§ 440.10 through 440.165](/cfr/42/440.10..440.165.md).
  - (5) For women who, while pregnant, applied for, were eligible as medically needy for, and received Medicaid services under the plan, services under the plan that are pregnancy-related (as defined in [§ 440.210(a)(2)(i)](/cfr/42/440.210.md?p=a-2-i) of this subpart) for an extended postpartum period. The postpartum period begins on the last day of pregnancy and extends through the end of the month in which the 60-day period following termination of pregnancy ends.
- (b) A State plan must specify that eligible aliens as defined in §§ [435.406(a)](/cfr/42/435.406.md?p=a) and [436.406(a)](/cfr/42/436.406.md?p=a) of this subchapter will receive at least the services provided in [paragraphs (a)(4)](#a-4) (i) and (ii) of this section.
- (c) A State plan must specify that aliens defined in §§ [435.406(b)](/cfr/42/435.406.md?p=b), [435.406(c)](/cfr/42/435.406.md?p=c), [436.406(b)](/cfr/42/436.406.md?p=b) and [436.406(c)](/cfr/42/436.406.md?p=c) of this subchapter will only be provided the limited services specified in [§ 440.255](/cfr/42/440.255.md).

## Notes

### Amendments

[56 FR 24011, May 28, 1991, as amended at 58 FR 4938, Jan. 19, 1993]

### Authority

Authority: 42 U.S.C. 1302.

### Source

Source: 43 FR 45224, Sept. 29, 1978, unless otherwise noted.

### Amendments

[56 FR 24011, May 28, 1991, as amended at 58 FR 4938, Jan. 19, 1993]