In-Home Medical Care and Nursing Facility Waiver Services.

22 CCR 51173.1

§ 51173.1. In-Home Medical Care and Nursing Facility Waiver Services. “In-home medical care waiver services and nursing facility waiver services” means those medical services provided in a beneficiary's place of residence to beneficiaries who would otherwise require acute hospital or nursing facility inpatient care for at least 90 consecutive days. Such services shall be provided by organizations or individuals approved by the Department to provide such services. For purposes of in-home medical care waiver services and nursing facility waiver services, the beneficiary's place of residence may include congregate living situations or facilities licensed as congregate living health facilities, if the home setting is not medically appropriate or available. For the purpose of providing in-home medical care services, congregate living situations do not include community care facilities licensed pursuant to Section 1500, Health and Safety Code, except that in-home medical care waiver and nursing facility waiver services may be provided to ventilator-dependent children residing in foster care homes in accordance with Section 1507.5, Health and Safety Code.