California Welfare and Institutions Code 14132.94 – (a) Subject to approval by the Centers for Medicare and Medicaid …
(a) Subject to approval by the Centers for Medicare and Medicaid Services of a medicaid state plan amendment electing the Programs of All-Inclusive Care for the Elderly (PACE) as a state medicaid option, as provided for by Subtitle I (commencing with Section 4801) of Title IV of the Balanced Budget Act of 1997 (Public Law 105-33) and Part 460 (commencing with Section 460.2) of Subchapter E of Title 42 of the Code of Federal Regulations, PACE program services shall become a covered benefit of the Medi-Cal program, subject to utilization controls and eligibility criteria that require that the beneficiary be certifiable for nursing facility services based on Medi-Cal criteria.
(b) Covered services under the PACE benefit of the Medi-Cal program include those set forth in 42 C.F.R. § 460.92.
Terms Used In California Welfare and Institutions Code 14132.94
- Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
- Balanced budget: A budget in which receipts equal outlays.
- Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
- Medi-Cal: means the California Medical Assistance Program. See California Welfare and Institutions Code 14063
(Added by Stats. 2003, Ch. 112, Sec. 1. Effective January 1, 2004.)