ARTICLE 6.2. Short-Term Community Transitions [14196.2 - 14196.6]
( Heading of Article 6.2 amended by Stats. 2022, Ch. 898, Sec. 1. )
(a) (1) The Legislature finds and declares that in order to reduce the risk of transmission of COVID-19 during the current pandemic and to further the objectives of the Money Follows the Person Rebalancing Demonstration, a temporary program is hereby established to facilitate the transition of individuals from an inpatient facility who have resided in that setting for fewer than 60 days.
(2) The department shall provide services consistent with the Money Follows the Person Rebalancing Demonstration program, pursuant to Section 6071 of Public Law 109-171, and subsequent amendments, for transitioning eligible individuals out of inpatient facilities.
(b) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement, interpret, or make specific this article by means of letters, provider bulletins, or similar instructions, without taking regulatory action.
(c) Commencing January 1, 2026, the department shall cease to enroll beneficiaries pursuant to this article and commencing January 1, 2027, the department shall cease to provide services pursuant to this article.
(Amended by Stats. 2022, Ch. 898, Sec. 2. (SB 281) Effective January 1, 2023. Repealed as of January 1, 2028, pursuant to Sec. 14196.6.)
The following definitions apply for purposes of this article:
(a) “Eligible individual” means a Medi-Cal beneficiary who meets both of the following requirements:
(1) The individual meets the definition of an “eligible individual” under Section 6071(b)(2) of Public Law 109-171, and subsequent amendments, except that the individual is not required to have resided for at least 60 consecutive days in an inpatient facility.
(2) The individual is targeted to receive assistance in transitioning from an inpatient facility to a qualified residence, identified in the agreement between
the department and the federal Centers for Medicare and Medicaid Services for the Money Follows the Person Rebalancing Demonstration, except the individual shall not be required to have resided for at least 60 consecutive days in an inpatient facility.
(b) “Inpatient facility” has the same meaning as that term is defined in Section 6071(b)(3) of Public Law 109-171, and subsequent amendments.
(Amended by Stats. 2021, Ch. 143, Sec. 412. (AB 133) Effective July 27, 2021. Repealed as of January 1, 2028, pursuant to Sec. 14196.6.)
(a) A Medi-Cal beneficiary who has resided for at least 60 consecutive days in an inpatient facility, as required by the Money Follows the Person Rebalancing Demonstration, is ineligible for services under this article unless the department determines that any necessary federal approvals have been obtained and federal financial participation is available for this purpose.
(b) Services shall not be provided pursuant to this article during any period that the department has obtained any necessary federal approvals under the Money Follows the Person Rebalancing Demonstration to not apply the eligibility requirement that the beneficiary has resided for at least 60 consecutive days in an inpatient
facility.
(Amended by Stats. 2021, Ch. 143, Sec. 413. (AB 133) Effective July 27, 2021. Repealed as of January 1, 2028, pursuant to Sec. 14196.6.)
This article shall remain in effect only until January 1, 2028, and as of that date is repealed.
(Repealed and added by Stats. 2022, Ch. 898, Sec. 4. (SB 281) Effective January 1, 2023. Repealed as of January 1, 2028, by its own provisions. Note: Repeal affects Art. 6.2, commencing with Section 14196.2.)