45 CFR § 400.91 - Definitions.

---
identifier: "/us/cfr/t45/s400.91"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "45 CFR § 400.91 - Definitions."
title_number: 45
title_name: "Public Welfare"
section_number: "400.91"
section_name: "Definitions."
chapter_name: "OFFICE OF REFUGEE RESETTLEMENT, ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
part_number: "400"
part_name: "REFUGEE RESETTLEMENT PROGRAM"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "Section 412(a)(9), Immigration and Nationality Act (8 U.S.C. 1522(a)(9))."
regulatory_source: "45 FR 59323, Sept. 9, 1980, unless otherwise noted."
cfr_part: "400"
---


# 400.91 Definitions.

For purposes of this subpart—

*Medically needy* means individuals who are eligible for medical assistance under a State's approved Medicaid State plan in accordance with section 1902(a)(10)(C) of the Social Security Act.

*Spend down* means to deduct from countable income incurred medical expenses, thereby lowering the amount of countable income to a level that meets financial eligibility requirements in accordance with 42 CFR 435.831 (or, as applicable to Guam, the Virgin Islands, and Puerto Rico, 42 CFR 436.831).