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42 CFR 457.315 : Public Health (Part 1 To Parts 1009-1099) — (§ 430.0 To Part 481) — Centers For Medicare & Medicaid Services, Department Of Health And Human Services (Continued) (§ 430.0 To Part 481) — State Children'S Health Insurance Programs (Schips) (§ 457.1 To § 457.1285) — Allotments And Grants To States (§ 457.1 To § 457.1285) — State Plan Requirements: Eligibility, Screening, Applications, And Enrollment (§ 457.300 To § 457.380) — Application of modified adjusted gross income and household definition.

4 Aug 2016

(a) Effective January 1, 2014, the State must apply the financial methodologies set forth in paragraphs (b) through (i) of § 435.603 of this chapter in determining the financial eligibility of all individuals for CHIP. The exception to application of such methods for individuals for whom the State relies on a finding of income made by an Express Lane agency at § 435.603(j)(1) of this subpart also applies.

(b) In the case of determining ongoing eligibility for enrollees determined eligible for CHIP on or before December 31, 2013, application of the financial methodologies set forth in this section will not be applied until March 31, 2014 or the next regularly-scheduled renewal of eligibility for such individual under § 457.343, whichever is later.

42 CFR 457.315
[77 FR 17214, Mar. 23, 2012]