U.S. Code of Federal Regulations

Regulations most recently checked for updates: Oct 31, 2025

All TitlesTitle 42Chapter IVPart 435Subpart J - Subpart J—Eligibility in the States and District of Columbia

GENERAL METHODS OF ADMINISTRATION
§ 435.901 - Consistency with objectives and statutes.
§ 435.902 - Simplicity of administration.
§ 435.903 - Adherence of local agencies to State plan requirements.
§ 435.904 -
§ 435.900 - Scope.

APPLICATIONS
§ 435.905 - Availability and accessibility of program information.
§ 435.906 - Opportunity to apply.
§ 435.907 - Application.
§ 435.908 - Assistance with application and renewal.
§ 435.909 - Automatic entitlement to Medicaid following a determination of eligibility under other programs.
§ 435.910 - Use of social security number.

DETERMINATION OF MEDICAID ELIGIBILITY
§ 435.911 - Determination of eligibility.
§ 435.912 - Timely determination and redetermination of eligibility.
§ 435.914 - Case documentation.
§ 435.915 - Effective date.

REDETERMINATIONS OF MEDICAID ELIGIBILITY
§ 435.916 - Regularly scheduled renewals of Medicaid eligibility.
§ 435.917 - Notice of agency's decision concerning eligibility, benefits, or services.
§ 435.918 - Use of electronic notices.
§ 435.919 - Changes in circumstances.
§ 435.920 - Verification of SSNs.
§ 435.923 - Authorized representatives.
§ 435.926 - Continuous eligibility for children.
§ 435.927 - Requirements for States to submit certain data on redeterminations.
§ 435.928 - Reduction in FMAP for failure to submit certain data.

FURNISHING MEDICAID
§ 435.930 - Furnishing Medicaid.

INCOME AND ELIGIBILITY VERIFICATION REQUIREMENTS
§ 435.940 - Basis and scope.
§ 435.945 - General requirements.
§ 435.948 - Verifying financial information.
§ 435.949 - Verification of information through an electronic service.
§ 435.952 - Use of information and requests of additional information from individuals.
§ 435.956 - Verification of other non-financial information.
§ 435.960 - Standardized formats for furnishing and obtaining information to verifying income and eligibility.
§ 435.965 - Delay of effective date.
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