1. Regulations
  2. title 42
  3. chapter IV
  4. part 407
  5. subpart A
  6. § 407.4

View all text of Subpart A [§ 407.1 - § 407.4]

§ 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 1395hh.

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

CITE AS: 42 CFR 407.4