441—88.42 (249A) Eligible recipients.
	 88.42(1) Included categories of assistance. All categories of Medicaid-eligible recipients except those specified as excluded in subrule 88.42(2) are required to participate in Medicaid managed health care if they reside in a mandatory project county as described in subrule 88.43(1). Recipients who reside in a voluntary project county as described in subrule 88.43(2) may participate if they so choose.
A choice to enroll in any other form of Medicaid managed health care available in the recipient’s county of residence shall fulfill the requirements to participate in mandatory project counties.
	 88.42(2) Excluded categories of assistance. The following categories of Medicaid-eligible recipients shall not be allowed to participate in Medicaid patient management in either mandatory or voluntary project counties:
	  a.   	 Medically needy recipients as defined in 441—subrule 75.1(35).
	  b.   	 Recipients over age 65 and under age 21 in psychiatric institutions as defined in 441—Chapter 85.
	  c.   	 Recipients who are supplemental security income-related case members.
	  d.   	 Rescinded IAB 10/3/01, effective 12/1/01.
	  e.   	 Automatic redetermination recipients as defined in rule 441—76.11(249A).
	  f.   	 Recipients who are foster care and subsidized adoption-related case members.
	  g.   	 Recipients who are Medicare beneficiaries.
	  h.   	 Pregnant women who are determined presumptively eligible in accordance with provisions in 441—subrule 75.1(30).
	  i.   	 Recipients who are Native American Indians or Alaskan natives.
	  j.   	 Recipients who are receiving services from a Title V provider.