Ch. 352

1996 LAWS OF MARYLAND

(iii) Shall provide, subject to the limitations of the State budget, family
planning [service] SERVICES to women currently eligible for comprehensive medical
care and other health care under item (ii) of this paragraph for 5 years after the second
month following the month in which the woman delivers her child;

(iv) Shall provide, subject to the limitations of the State budget [ and
the availability of federal funds], comprehensive medical and other health care
SERVICES for all children from the age of 1 year up through and including the age of 5
years whose family income falls below 133 percent of the poverty level, as permitted by
the federal law;

(v) Shall provide, subject to the limitations of the State budget [and
the availability of federal funds], comprehensive medical care and other health care
SERVICES for all children born after September 30, 1983 who are at least 6 years of age
but are under 19 years of age whose family income falls below 100 percent of the poverty
level, as permitted by federal law; [and]

(VI) MAY PROVIDE, SUBJECT TO THE LIMITATIONS OF THE STATE
BUDGET AND AS PERMITTED BY FEDERAL LAW OR WAIVER, GUARANTEED
ELIGIBILITY FOR A PERIOD NOT TO EXCEED 6 MONTHS; AND

[(vi)] (VII) (VI) May include bedside nursing care for eligible
Program recipients.; AND

(VIII) (VII) shall provide services in accordance with

FUNDING RESTRICTIONS INCLUDED IN THE ANNUAL STATE BUDGET BILL

(3) Subject to restrictions in federal law or waivers, the Department may
impose cost-sharing on Program recipients.

(b) (1) [The] AS PERMITTED BY FEDERAL LAW OR WAIVER, THE Secretary
may establish a program under which Program recipients are required to enroll in
managed care [plans] ORGANIZATIONS.

(2) THE DEPARTMENT MAY CONTRACT DIRECTLY WITH A MANAGED
CARE ORGANIZATION TO SERVE PROGRAM RECIPIENTS WITH SPECIAL NEEDS, AS
DEFINED BY THE DEPARTMENT. PROVIDED THAT THE MANAGED CARE
ORGANIZATION AGREES TO PROVIDE OR TO ARRANGE TO PROVIDE ALL OF THE
SERVICES REQUIRED TO BE PROVIDED BY A MANAGED CARE ORGANIZATION.

(2) (I) THE BENEFITS REQUIRED BY THE PROGRAM DEVELOPED UNDER
PARAGRAPH (I) OF THIS SUBSECTION SHALL BE ADOPTED BY REGULATION AND SHALL
BE EQUIVALENT TO THE BENEFIT LEVEL REQUIRED BY THE MARYLAND MEDICAL
ASSISTANCE PROGRAM ON JANUARY 1, 1996.

(II) NOTHING IN THIS PARAGRAPH MAY BE CONSTRUED TO PROHIBIT
A MANAGED CARE ORGANIZATION FROM OFFERING ADDITIONAL BENEFITS. IF THE
MANAGED CARE ORGANIZATION IS NOT RECEIVING CAPITATION PAYMENTS BASED ON
THE PROVISION OF THE ADDITIONAL BENEFITS.

(3) SUBJECT TO THE LIMITATIONS OF THE STATE BUDGET AND AS
PERMITTED BY FEDERAL LAW OR WAIVER THE PROGRAM DEVELOPED UNDER

- 2442 -