Regulations last checked for updates: Aug 06, 2026

Title 42 - Public Health last revised: Aug 04, 2026
§ 435.553 - Mandatory exceptions for certain applicable individuals.

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.

authority: 42 U.S.C. 1302.
source: 43 FR 45204, Sept. 29, 1978, unless otherwise noted.
cite as: 42 CFR 435.553