42 CFR 407.4
§ 407.4 Basic requirements for entitlement.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 407.4, § 407.4 Basic requirements for entitlement, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/203133
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Full text
(a) An individual must meet the following requirements to be entitled to SMI:
(1) Eligibility. The individual must meet the eligibility requirements specified in § 407.10(a).
(2) Enrollment. The individual must enroll for SMI, or must be enrolled by a State under a buy-in agreement as specified in § 407.40.
(b) SMI pays only for covered expenses incurred during an individual's period of entitlement.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.