California Law (Last Updated: March 4, 2014) |
Welfare and Institutions Code - WIC |
Division 9. PUBLIC SOCIAL SERVICES |
Part 3. AID AND MEDICAL ASSISTANCE |
Chapter 7. Basic Health Care |
ARTICLE 4.3. Long-Term Care Integration Pilot Program |
Section 14139.42.
-
(a) Each pilot project site shall serve all eligible beneficiaries who live in the geographic area served by the long-term care services agency. In order to eliminate duplicative administrative costs and to achieve a more efficient delivery system, pilot project sites shall also serve non-Medi-Cal eligible individuals who, but for the implementation of the pilot project, would have received services from programs whose funds are included in the consolidated long-term care services fund.
(b) Funding sources allocated for persons who are not eligible for Medi-Cal benefits may be integrated into the consolidated long-term care services fund. To the extent those funds are spent on services for persons who are not eligible for Medi-Cal benefits, they shall be segregated from capitated funds for Medi-Cal beneficiaries. No funds derived from the capitated Medi-Cal rate may be used for persons who are not eligible for Medi-Cal.