Section 441.103 - Alternate plans of care(a) The agency must develop alternate plans of care for each beneficiary age 65 or older who would otherwise need care in an institution for mental diseases.(b) These alternate plans of care must- (1) Make maximum use of available resources to meet the beneficiary's medical, social, and financial needs; and(2) In Guam, Puerto Rico, and the Virgin Islands, make available appropriate social services authorized under sections 3(a)(4) (i) and (ii) or 1603(a)(4)(A) (i) and (ii) of the Act.