Yes, we will approve state plan amendments to cover individuals who were in foster care and receiving Medicaid when they turned age 18 or "aged out" of foster care in another state. This option is provided in the state plan amendment (SPA) page (S33) for this group. Because this provision has not yet been finalized, if section 435.150 is later finalized in such a way that conflicts with the state's approved state plan amendment, a subsequent amendment to the state plan may be necessary (see 42 CFR section 430.12(c)(1)(i)). The state would be able to receive federal financial participation for expenditures under an approved SPA if the policy later changed, until the state (within a reasonable period of time) had submitted a new SPA and modified its policies and procedures to comply with such change in federal policy.
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