Pub. L. 93-66, tit. II, pt. D, sec. 231

persons in medical institutions

EnactedYear: 1973Length: 306 wordsOfficial source
persons in medical institutions Sec. 231. For purposes of section 1902(a) (10) of the Social Security Act, any individual who, for all (or any part of) the month of December 1973— (1) was an inpatient in an institution qualified for reimbursement under title XIX of the Social Security Act, and 87 Stat. 160 (2) (A) would (except for his being an inpatient in such institution) have been eligible to receive aid or assistance under a State plan approved under title I, X, XIV, or XVI of such Act, or (B) was, on the basis of his need for care in such institution, considered to be eligible for aid or assistance under a State plan (referred to in subparagraph (A)) for purposes of determining his eligibility for medical assistance under a State plan approved under title XIX of such Act (whether or not such individual actually received aid or assistance under a State plan referred to in subparagraph (A)), shall be deemed to be receiving such aid or assistance for such month and for each succeeding month in a continuous period of months if, for each month in such period— (3) such individual continues to be (for all of such month) an inpatient in such an institution and would (except for his being an inpatient in such institution) continue to meet the conditions of eligibility to receive aid or assistance under such plan (as such plan was in effect for December 1973), and (4) such individual is determined (under the utilization review and other professional audit procedures applicable to State plans approved under title XIX of the Social Security Act) to be in need of care in such an institution. Federal matching under title XIX of the Social Security Act shall be available for the medical assistance furnished to individuals eligible for such assistance under this section.
Pub. L. 93-66, tit. II, pt. D, sec. 231: persons in medical institutions | Justis AI