42 CFR § 435.225 - Individuals under age 19 who would be eligible for Medicaid if they were in a medical institution.
(a) The agency may provide Medicaid to children 18 years of age or younger who qualify under section 1614(a) of the Act, who would be eligible for Medicaid if they were in a medical institution, and who are receiving, while living at home, medical care that would be provided in a medical institution.
(2) It is appropriate to provide that level of care outside such an institution.
The following state regulations pages link to this page.
- N.H. Code Admin. R. He-W 602.04 - He-W 602.04 - Categorically Needy and Medically Needy Medical Assistance