42 CFR § 436.230 - Essential spouses of aged, blind, or disabled individuals receiving cash assistance.

---
identifier: "/us/cfr/t42/s436.230"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 436.230 - Essential spouses of aged, blind, or disabled individuals receiving cash assistance."
title_number: 42
title_name: "Public Health"
section_number: "436.230"
section_name: "Essential spouses of aged, blind, or disabled individuals receiving cash assistance."
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"
---


# 436.230 Essential spouses of aged, blind, or disabled individuals receiving cash assistance.

The agency may provide Medicaid to the spouse of an individual receiving OAA, AB, APTD, or AABD, if—

(a) The spouse is living with the individual receiving cash assistance;

(b) The cash assistance agency has determined that the spouse is essential to the well-being of the individual and has considered the spouse's needs in determining the amount of cash assistance provided to the individual.