# 42 C.F.R. § 435.553 (2026): Mandatory exceptions for certain applicable individuals

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/CFR_T42_P435_S435_553

## Section

- **Citation:** 42 C.F.R. § 435.553 (2026)
- **Heading:** Mandatory exceptions for certain applicable individuals
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Title 42 CFR: Public Health / Chapter IV / Part 435 / Subpart F / § 435.553: § 435.553   Mandatory exceptions for certain applicable individuals.

## Text

A State must deem an applicable individual to have demonstrated community engagement under § 435.552 for a month if— (a) For part or all of that month, the individual was: (1) Under the age of 19 years; (2) Entitled to or enrolled for Medicare benefits under part A or enrolled for benefits under part B of title XVIII of the Act; (3) Described in any mandatory coverage groups in subclauses (I) through (VII) of section 1902(a)(10)(A)(i) of the Act under the Medicaid State plan; or, (4) A specified excluded individual as defined at § 435.554. (b) At any point during the 3-month period ending on the first day of that month, the individual was an inmate of a public institution.

## Nearby sections

- [42 C.F.R. § 435.500 (2026) § 435.500   Scope.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P435_S435_500.md)
- [42 C.F.R. § 435.520 (2026) § 435.520   Age requirements for the aged.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P435_S435_520.md)
- [42 C.F.R. § 435.530 (2026) § 435.530   Definition of blindness.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P435_S435_530.md)
- [42 C.F.R. § 435.531 (2026) § 435.531   Determinations of blindness.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P435_S435_531.md)
- [42 C.F.R. § 435.540 (2026) § 435.540   Definition of disability.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P435_S435_540.md)
- [42 C.F.R. § 435.541 (2026) § 435.541   Determinations of disability.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P435_S435_541.md)
- [42 C.F.R. § 435.550 (2026) § 435.550   Basis and scope.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P435_S435_550.md)
- [42 C.F.R. § 435.551 (2026) § 435.551   Applicable individual.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P435_S435_551.md)
- [42 C.F.R. § 435.552 (2026) § 435.552   Demonstrating community engagement.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P435_S435_552.md)
- [42 C.F.R. § 435.553 (2026) § 435.553   Mandatory exceptions for certain applicable individuals.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P435_S435_553.md)
- [42 C.F.R. § 435.554 (2026) § 435.554   Specified excluded individuals.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P435_S435_554.md)
- [42 C.F.R. § 435.555 (2026) § 435.555   Optional exception for short-term hardship events.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P435_S435_555.md)
- [42 C.F.R. § 435.556 (2026) § 435.556   Assessing compliance with the community engagement requirement.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P435_S435_556.md)
- [42 C.F.R. § 435.557 (2026) § 435.557   Verifying compliance with or exception or exclusion from the community engagement requirement.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P435_S435_557.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/CFR_T42_P435_S435_553. Check the current official text before relying on it. Not legal advice.