42 CFR 407.4 - Basic requirements for entitlement.

Regulations last checked for updates: Nov 22, 2024

Title 42 - Public Health last revised: Nov 19, 2024

§ 407.4 - Basic requirements for entitlement.

(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.

authority: 42 U.S.C. 1302,1395p,1395q,and

source: 53 FR 47204, Nov. 22, 1988, unless otherwise noted.

cite as: 42 CFR 407.4