Section 435.226 - Optional eligibility for independent foster care adolescents(a)Basis. This section implements section 1902(a)(10)(A)(ii)(XVII) of the Act.(b)Eligibility. The agency may provide Medicaid to individuals under age 21 (or, at State option, under age 20 or 19) who were in foster care under the responsibility of a State or Tribe (or, at State or Tribe option, only to such individuals for whom Federal foster care assistance under title IV-E of the Act was being provided) on the individual's 18th birthday and have household income at or below the income standard, if any, established by the agency in its State plan in accordance with paragraph (c) of this section.(c)Income standard.(1) The income standard established under this section may not be lower than the State's income standard established under § 435.110 .(2) The State may elect to have no income standard for eligibility under this section. 81 FR 86453 , Nov. 30, 2016