# 42 CFR § 435.553: Mandatory exceptions for certain applicable individuals

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/ecfr-42-435.553

## Section

- **Citation:** 42 CFR § 435.553
- **Heading:** Mandatory exceptions for certain applicable individuals
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** September 22, 2026
- **Source:** Publisher's official text
- **Location:** Title 42—Public Health > CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES > SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS > PART 435—ELIGIBILITY IN THE STATES, DISTRICT OF COLUMBIA, THE NORTHERN MARIANA ISLANDS, AND AMERICAN SAMOA > Subpart F—Categorical Requirements for Eligibility > Community Engagement Requirement

## 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 CFR § 435.520 § 435.520 Age requirements for the aged.](https://www.frixlaw.com/law-library/statutes/ecfr-42-435.520.md)
- [42 CFR § 435.530 § 435.530 Definition of blindness.](https://www.frixlaw.com/law-library/statutes/ecfr-42-435.530.md)
- [42 CFR § 435.531 § 435.531 Determinations of blindness.](https://www.frixlaw.com/law-library/statutes/ecfr-42-435.531.md)
- [42 CFR § 435.540 § 435.540 Definition of disability.](https://www.frixlaw.com/law-library/statutes/ecfr-42-435.540.md)
- [42 CFR § 435.541 § 435.541 Determinations of disability.](https://www.frixlaw.com/law-library/statutes/ecfr-42-435.541.md)
- [42 CFR § 435.550 § 435.550 Basis and scope.](https://www.frixlaw.com/law-library/statutes/ecfr-42-435.550.md)
- [42 CFR § 435.551 § 435.551 Applicable individual.](https://www.frixlaw.com/law-library/statutes/ecfr-42-435.551.md)
- [42 CFR § 435.552 § 435.552 Demonstrating community engagement.](https://www.frixlaw.com/law-library/statutes/ecfr-42-435.552.md)
- [42 CFR § 435.553 § 435.553 Mandatory exceptions for certain applicable individuals.](https://www.frixlaw.com/law-library/statutes/ecfr-42-435.553.md)
- [42 CFR § 435.554 § 435.554 Specified excluded individuals.](https://www.frixlaw.com/law-library/statutes/ecfr-42-435.554.md)
- [42 CFR § 435.555 § 435.555 Optional exception for short-term hardship events.](https://www.frixlaw.com/law-library/statutes/ecfr-42-435.555.md)
- [42 CFR § 435.556 § 435.556 Assessing compliance with the community engagement requirement.](https://www.frixlaw.com/law-library/statutes/ecfr-42-435.556.md)
- [42 CFR § 435.557 § 435.557 Verifying compliance with or exception or exclusion from the community engagement requirement.](https://www.frixlaw.com/law-library/statutes/ecfr-42-435.557.md)
- [42 CFR § 435.558 § 435.558 Noncompliance procedures.](https://www.frixlaw.com/law-library/statutes/ecfr-42-435.558.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/ecfr-42-435.553. Check the current official text before relying on it. Not legal advice.