SECTIONS 13910-13913 - California Statutes

WELFARE AND INSTITUTIONS CODE

SECTION 13910-13913

13910. The purpose of this article is to provide out-of-home care
to those recipients of public assistance for whom care in their own
homes is impractical; however, the provisions of this article shall
not duplicate intermediate care or other out-of-home facility
services provided under Chapter 7 (commencing with Section 14000) of
Part 3 of Division 9.

13911. The director shall, by regulation, establish standards for
specialized out-of-home care. The department shall establish rate
schedules which include separate rates for room and board, for the
specialized care component and for personal and incidental needs.
The director shall develop an overall plan which integrates the
system of out-of-home nonmedical care facility services covered by
the provision of this chapter with the system of medical care
facility services covered by the provisions of Chapter 7 (commencing
with Section 14000) of this part. The purpose of such overall plan
shall be to maintain an appropriate balance between nonmedical and
medical facilities to the end that recipients of public assistance or
persons otherwise defined as needy by the provisions of this code
are given the care they require at the lowest possible cost.
The plan established by the director pursuant to this section may
include the use of an interdisciplinary review process to insure that
persons are not placed or retained in medical care facilities when
appropriate care can otherwise be provided at lower cost.
Nothing in this article shall be interpreted to preclude any
facility licensed under the provisions of Chapter 2 (commencing with
Section 1250) of Division 2 of the Health and Safety Code from
providing out-of-home care services, provided such facilities meet
the standards established by the provisions of this section.

13912. In the establishment of the rate schedules for out-of-home
care, the director shall consider and reflect in the rate schedule
annually, in addition to any other factors he deems to be relevant,
the availability of such homes in the community, cost of living,
appropriateness of the facility, the cost of providing care under the
required standards, activity programs required for the maintenance
or restoration of function of aged and disabled persons and the cost
of differentials of room, board and care required for persons of
differing ages and needs.

13913. The director shall submit an annual report to the
Legislature by March 1 of each year setting forth pertinent facts on
the operation of the program established by this chapter and its
significance in relation to the out-of-home care services of the
Medi-Cal program.