20 CFR § 416.2130 - Effect of the agreement and responsibilities of States.
---
identifier: "/us/cfr/t20/s416.2130"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "20 CFR § 416.2130 - Effect of the agreement and responsibilities of States."
title_number: 20
title_name: "Employees' Benefits"
section_number: "416.2130"
section_name: "Effect of the agreement and responsibilities of States."
chapter_name: "SOCIAL SECURITY ADMINISTRATION"
part_number: "416"
part_name: "SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
cfr_part: "416"
---
# 416.2130 Effect of the agreement and responsibilities of States.
(a) An agreement under this subpart does not change—
(1) The provisions of a State's Medicaid plan;
(2) The conditions under which the Secretary will approve a State's Medicaid plan; or
(3) A State's responsibilities under the State Medicaid plan.
(b) Following are examples of functions we will not agree to carry out for the State:
(1) Stationing of our employees at hospitals or nursing homes to take Medicaid applications;
(2) Determining whether a person is eligible for Medicaid for any period before he or she applied for SSI benefits;
(3) Giving approval for emergency medical care under Medicaid before a determination has been made on whether a person is eligible for SSI benefits;
(4) Setting up or running a State's system for requiring a person to pay part of the cost of services he or she receives under Medicaid; or
(5) Giving identification cards to people to show that they are eligible for Medicaid.