42 C.F.R. § 435.553

Mandatory exceptions for certain applicable individuals.

Last amended: 2026Year: 2026Length: 120 wordsOfficial source

Cite as 42 C.F.R. § 435.553 (2026)

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.
Cross-references to the CFR
435.552435.554.
42 C.F.R. § 435.553: Mandatory exceptions for certain applicable individuals. | Justis AI