Section 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.Cal. Code Regs. Tit. 22, § 51524
1. New section filed 9-1-82 as an emergency; effective upon filing (Register 82, No. 37). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 12-30-82.
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.
1. New section filed 9-1-82 as an emergency; effective upon filing (Register 82, No. 37). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 12-30-82.
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).