Ch. 614

LAWS OF MARYLAND

as permitted by the federal Omnibus Budget Reconciliation Act of
[1986] 1987 LAW; [and]

(III) SHALL PROVIDE, SUBJECT TO THE LIMITATIONS
OF THE STATE BUDGET AND THE AVAILABILITY OF FEDERAL FUNDS,
COMPREHENSIVE MEDICAL AND OTHER HEALTH CARE FOR ALL CHILDREN
BETWEEN FROM THE AGES AGE OF 1 YEAR AND 3 YEARS WHO FALL UP
THROUGH AND INCLUDING THE AGE OF 2 YEARS WHOSE FAMILY INCOME
FAILS BELOW 100 PERCENT OF THE POVERTY LEVEL, AS PERMITTED BY THE
FEDERAL OMNIBUS BUDGET RECONCILIATION ACT OF 1987 LAW; AND

(IV) MAY PROVIDE, SUBJECT TO THE LIMITATIONS OF
THE STATE BUDGET AND THE AVAILABILITY OF FEDERAL FUNDS,
COMPREHENSIVE MEDICAL CARE AND OTHER HEALTH CARE FOR ALL CHILDREN
FROM THE AGE OF 3 UP THROUGH AND INCLUDING THE AGE OF 1 WHOSE
FAMILY INCOME FALLS BELOW 100 PERCENT OF THE POVERTY LEVEL, AS
PERMITTED BY FEDERAL LAW; AND

[(iii)] (IV) (V) May include bedside nursing
care for eligible Program recipients.

(B) (1) THE PROGRAM SHALL, AS APPROPRIATE, INCLUDE MANAGED
CARE PILOT PROGRAMS FOR THOSE GROUPS OF PROGRAM RECIPIENTS WHO
MAY BENEFIT FROM A MANAGED CARE PROGRAM TO MEET THEIR HEALTH CARE
NEEDS.

(2)  TO THE EXTENT DEEMED FEASIBLE AND APPROPRIATE,
ALL MANAGED CARE PILOT PROGRAMS DEVELOPED UNDER THE PROVISIONS OF
PARAGRAPH (1) OF THIS SUBSECTION SHALL:

(I)  DESIGNATE 1 PERSON TO BE RESPONSIBLE FOR
MANAGING THE DELIVERY OF HEALTH CARE SERVICES TO THE PROGRAM
RECIPIENT;

(II)  PROMOTE ACCESS TO AND CONTINUITY OF HEALTH
CARE TO PROGRAM RECIPIENTS;

(III)  PREVENT UNNECESSARY UTILIZATION OF HEALTH
CARE SERVICES BY PROGRAM RECIPIENTS;

(IV)  EDUCATE PROGRAM RECIPIENTS ON HEALTH CARE
PREVENTION AND GOOD HEALTH HABITS;

(V)  PROVIDE SUFFICIENT FLEXIBILITY TO ENABLE
THE MANAGED CARE PROGRAM TO BE TAILORED TO MEET THE INDIVIDUAL
HEALTH CARE NEEDS OF PROGRAM RECIPIENTS; AND

(VI)  PROMOTE ASSISTANCE FOR PROGRAM RECIPIENTS
IN SECURING NECESSARY HEALTH CARE SERVICES.

(3)  (I) ALL MANAGED CARE PILOT PROGRAMS DEVELOPED
UNDER THE PROVISIONS OF PARAGRAPH (1) OF THIS SUBSECTION SHALL BE
CAREFULLY CONTROLLED AND HAVE THEIR COST SAVINGS CONVINCINGLY

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