Welfare And Institutions Code - Section 22000-22010 Los Angeles CA

SourceTag: 22000-22010

Content:
22000. The California Partnership for Long-Term Care Program ishereby established.22001. The purpose of the program is to link private long-term careinsurance and health care service plan contracts that coverlong-term care with the In-Home Supportive Services program (Article7 (commencing with -12300) of Chapter 3 of Part 3 of Division9) and Medi-Cal, and to provide specified in-home supportive servicesbenefits and specified Medi-Cal benefits to the purchasers ofapproved and certified insurance policies and health care serviceplan contracts who qualify under the special provisions of thisdivision.22002. The State Department of Health Services shall seek anyfederal waivers and approvals necessary to accomplish the purposes ofthis division.22003. (a) Individuals who participate in the program and haveresources above the eligibility levels for receipt of medicalassistance under Title XIX of the Social Security Act (Subchapter XIX(commencing with -1396) of Chapter 7 of Title 42 of theUnited States Code) shall be eligible to receive those in-homesupportive services benefits specified by the State Department ofSocial Services, and those Medi-Cal benefits specified by the StateDepartment of Health Services, for which they would otherwise beeligible, if, prior to becoming eligible for benefits, they havepurchased a long-term care insurance policy or a health care serviceplan contract covering long-term care that has been certified by theState Department of Health Services pursuant to this division. (b) Individuals may purchase approved and certified long-term careinsurance policies or health care service plan contracts which coverlong-term care services in amounts equal to the resources they wishto protect, so long as the amount of insurance purchased exceeds theminimum level set by the State Department of Health Services pursuantto -22009. (c) The resource protection provided by this division shall beeffective only for long-term care policies, and health care serviceplan contracts that cover long-term care services, when the policy orcontract is delivered, issued for delivery, or renewed on July 1,1993 and thereafter.22004. Notwithstanding other provisions of law, the resources, tothe extent described in subdivision (c), of an individual whopurchases an approved and certified long-term care insurance policyor health care service plan contract which covers long-term careservices shall not be considered by: (a) The State Department of Health Services in determining: (1) Medi-Cal eligibility. (2) The amount of any Medi-Cal payment. (3) The amount of any subsequent recovery by the state of paymentsmade for medical services. (b) The State Department of Social Services in determining: (1) Eligibility for in-home supportive services provided pursuantto Article 7 (commencing with -12300) of Chapter 3 of Division9. (2) The amount of any payment for in-home supportive services. (c) The resources not to be considered as provided by this sectionshall be equal to, or in some proportion set by the State Departmentof Health Services or State Department of Social Services that isless than equal to, the amount of long-term care insurance paymentsor benefits made as described in -22006.22005. The State Department of Health Services shall only certify along-term care insurance policy or a health care service plancontract that meets the Medi-Cal asset protection requirements.22005.1. (a) The State Department of Health Services shall onlycertify a long-term care insurance policy that substantially meetsthe requirements of Chapter 2.6 (commencing with -10230) ofPart 2 of Division 2 of the Insurance Code, except the requirementsof Sections 10232.1, 10232.2, 10232.25, 10232.8, 10232.9, and10232.92 of the Insurance Code, an