AN ACT TO REDUCE OR ELIMINATE REGULATIONS THAT MAY BE DUPLICATIVE OR NOT COST-EFFECTIVE FOR THE PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY MANAGED CARE PROGRAM.
Amends GS 131E-138, concerning requirements for home care agency licensure, to exempt from licensure an entity that provides home care services to a participant of the Program of All-Inclusive Care for the Elderly (PACE Program) through an organization that has a valid PACE Program agreement with the Centers for Medicare and Medicaid Services and the Division of Health Benefits of the Department of Health and Human Services (DHHS).
Amends GS 131D-2.1 to include in the definition of adult care home an assisted living residence in which the housing management provides 24-hour personal care services to two or more residents through formal written agreement with a PACE Program organization that has a valid program agreement with the Centers for Medicare and Medicaid Services and the Division of Health Benefits. Similarly amends the definition of assisted living residence to include any group housing and services program for two or more unrelated adults that makes available one meal a day and housekeeping services and provides personal care services through a formal written agreement with a PACE Program agreement with the Centers for Medicare and Medicaid Services and the Division of Health Benefits. Makes conforming changes to the definition of multiunit assisted housing with services.
Amends GS 131D-2.2 to allow multiunit assisted housing with services to provide care for individuals enrolled in the PACE Program who require maximum physical assistance as specified. Also establishes a right of an assisted living facility resident to select as the resident's health care provider the PACE Program without jeopardizing residency in the assisted living facility.
Modifies GS 131D-2.16 to require the Medical Care Commission to adopt rules which ensure comparable quality of services to residents whether directly by a licensed assisted living provider, licensed home care agency, a PACE Program organization with a valid agreement with the Centers for Medicare and Medicaid Services and the Division of Health Benefits, or hospice.
Amends GS 131D-6 to exempt from the provisions regarding certification of adult day care programs PACE Program organizations that have a valid agreement with the Centers for Medicare and Medicaid Services and the Division of Health Benefits when providing services to participants in the program.
Effective October 1, 2019.
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