20 CFR 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.