42 CFR § 436.220 - Individuals who would meet the income and resource requirements under AFDC if child care costs were paid from earnings.
---
identifier: "/us/cfr/t42/s436.220"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 436.220 - Individuals who would meet the income and resource requirements under AFDC if child care costs were paid from earnings."
title_number: 42
title_name: "Public Health"
section_number: "436.220"
section_name: "Individuals who would meet the income and resource requirements under AFDC if child care costs were paid from earnings."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "C"
subchapter_name: "MEDICAL ASSISTANCE PROGRAMS"
part_number: "436"
part_name: "ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "Sec. 1102 of the Social Security Act (42 U.S.C. 1302)."
regulatory_source: "43 FR 45218, Sept. 29, 1978, unless otherwise noted."
cfr_part: "436"
---
# 436.220 Individuals who would meet the income and resource requirements under AFDC if child care costs were paid from earnings.
(a) The agency may provide Medicaid to any group or groups of individuals specified under § 436.201(a)(4), (a)(5), and (a)(6) who would meet the income and resource requirements under the State's AFDC plan if their work-related child care costs were paid from their earnings rather than by a State agency as a service expenditure.
(b) The agency may use this option only if the State's AFDC plan deducts work-related child care costs from income to determine the amount of AFDC.
[43 FR 45218, Sept. 29, 1978, as amended at 58 FR 4935, Jan. 19, 1993]