Cal. Code Regs. Tit. 22, § 51524 - In-Home Medical Care Waiver Services and Nursing Facility Waiver Services
(a) The method and
rate of reimbursement for in-home medical care waiver services and nursing
facility waiver services shall be set forth in a written agreement between the
provider of services and the Department and may be set on an individual case by
case basis.
(b) For beneficiaries
receiving in-home care waiver services, the total reimbursement for all
Medi-Cal services provided to a beneficiary shall be less than the total cost
of services that would be incurred by the Medi-Cal program for the beneficiary
in an acute hospital.
(c) For
beneficiaries receiving nursing facility waiver services, the total
reimbursement for all Medi-Cal services provided each recipient shall be less
than the total cost of services that would be incurred by the Medi-Cal program
for the beneficiary in the level of Medi-Cal nursing facility care appropriate
to that beneficiary's medical needs.
Notes
2. Certificate of Compliance transmitted to OAL 12-30-82 and filed 2-2-83 (Register 83, No. 6).
3. Editorial correction of NOTE filed 1-15-85 (Register 85, No. 4).
4. Amendment of section heading, text and NOTE filed 10-20-94; operative 10-20-94 (Register 94, No. 42).
5. Editorial correction of HISTORY 4 (Register 95, No. 14).
Note: Authority cited: Sections 10725, 14105 and 14124.5, Welfare and Institutions Code. Reference: Sections 14105, 14114 and 14132, Welfare and Institutions Code.
2. Certificate of Compliance transmitted to OAL 12-30-82 and filed 2-2-83 (Register 83, No. 6).
3. Editorial correction of NOTE filed 1-15-85 (Register 85, No. 4).
4. Amendment of section heading, text and Note filed 10-20-94; operative 10-20-94 (Register 94, No. 42).
5. Editorial correction of History 4 (Register 95, No. 14).
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