42 C.F.R. § 407.4
Basic requirements for entitlement.
Cite as 42 C.F.R. § 407.4 (2026)
(a) An individual must meet the following requirements to be entitled to SMI:
(1)
Eligibility.
The individual must meet the eligibility requirements specified in § 407.10(a).
(2)
Enrollment.
The individual must enroll for SMI, or must be enrolled by a State under a buy-in agreement as specified in § 407.40.
(b) SMI pays only for covered expenses incurred during an individual's period of entitlement.
- Cross-references to the CFR
- 407.10407.40.