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Implementation Guide: Medicaid State Plan Eligibility Eligibility Groups – Options for Coverage Reasonable Classifications of Individuals under Age 21

Guidance for this reviewable unit (RU) that describes the optional Medicaid eligibility group for reasonable classifications of individuals under age 21, as described at 42 CFR 435.222. It provides the criteria under which individuals may be covered under this group, the income standard used, and the basis for the income standard used.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: July 14, 2017

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.