1. (A) The medicaid program shall cover all mandatory eligibility groups.
2. (B) The medicaid program shall cover all of the optional eligibility groups that state statutes require the medicaid program to cover.

3. (C) The medicaid program may cover any of the optional eligibility groups to which either of the following applies:

   1. (1) State statutes expressly permit the medicaid program to cover the optional eligibility group.
   2. (2) The medicaid program covers the optional eligibility group on November 22, 2017.

4. (D) The medicaid program shall not cover an optional eligibility group to which either of the following applies:

   1. (1) State statutes prohibit the medicaid program from covering the optional eligibility group.
   2. (2) Except as provided in divisions (B) and (C)(1) of this section, the medicaid program does not cover the optional eligibility group on November 22, 2017.

Last updated August 13, 2025 at 10:18 AM