PARRIS N. GLENDENING, Governor

Ch. 593

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;

(VI)   SHALL PROVIDE, SUBJECT TO THE LIMITATIONS OF THE STATE
BUDGET, COMPREHENSIVE MEDICAL CARE AND OTHER HEALTH CARE SERVICES
FOR ALL LEGAL IMMIGRANTS WHO MEET PROGRAM ELIGIBILITY STANDARDS AND
WHO ARRIVED IN THE UNITED STATES ON OR BEFORE AUGUST 22, 1996, THE
EFFECTIVE DATE OF THE FEDERAL PERSONAL RESPONSIBILITY AND WORK
OPPORTUNITY RECONCILIATION ACT, AS PERMITTED BY FEDERAL LAW;

(VII)  SHALL PROVIDE, SUBJECT TO THE LIMITATIONS OF THE STATE
BUDGET AND ANY OTHER REQUIREMENTS IMPOSED BY THE STATE,
COMPREHENSIVE MEDICAL CARE AND OTHER HEALTH CARE SERVICES FOR ALL
LEGAL IMMIGRANT CHILDREN UNDER THE AGE OF 18 YEARS AND PREGNANT
WOMEN WHO MEET PROGRAM ELIGIBILITY STANDARDS AND WHO ARRIVED IN THE
UNITED STATES ON OR AFTER AUGUST 22, 1996, THE EFFECTIVE DATE OF THE
FEDERAL PERSONAL RESPONSIBILITY AND WORK OPPORTUNITY RECONCILIATION
ACT;

[(vi)] (VIII) May include bedside nursing care for eligible Program
recipients; and

[(vii)] (IX) 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) As permitted by federal law or waiver, the Secretary may establish a
program under which Program recipients are required to enroll in managed care
organizations.

(2) (i) The benefits required by the program developed under paragraph
(1) 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)    SUBJECT TO THE LIMITATIONS OF THE STATE BUDGET AND AS
PERMITTED BY FEDERAL LAW OR WAIVER, THE DEPARTMENT SHALL REQUIRE
EACH MANAGED CARE ORGANIZATION PARTICIPATING IN THE PROGRAM
DEVELOPED UNDER PARAGRAPH (1) OF THIS SUBSECTION TO INCLUDE IN ITS
BENEFIT PACKAGE PROVIDE REIMBURSEMENT FOR MEDICALLY NECESSARY AND
APPROPRIATE INPATIENT, INTERMEDIATE CARE, AND HALFWAY HOUSE
SUBSTANCE ABUSE TREATMENT SERVICES FOR SUBSTANCE ABUSING ENROLLEES 21
YEARS OF AGE OR OLDER WHO ARE RECIPIENTS OF TEMPORARY CASH ASSISTANCE
UNDER THE FAMILY INVESTMENT PROGRAM.

(III)   EACH MANAGED CARE ORGANIZATION PARTICIPATING IN THE
PROGRAM DEVELOPED UNDER PARAGRAPH (1) OF THIS SUBSECTION SHALL PROVIDE OR
ARRANGE FOR THE PROVISION OF THE BENEFITS DESCRIBED IN SUBPARAGRAPH (II) OF
THIS PARAGRAPH.

[(ii)](III) (IV) Nothing in this paragraph may be construed to prohibit

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