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<section article="ghg" article_name="Health - General" number="15-137" title_number="15" title_name="Assistance Programs" subtitle_number="1" subtitle_name="Medical and Pharmacy Assistance Programs">
  <level label="a">
    <text>The Department may not deny an individual access to a home– and community–based services waiver due to a lack of funding for waiver services if:</text>
    <level label="1">
      <level label="i">
        <text>The individual is living in a nursing facility at the time of the application for waiver services;</text>
      </level>
      <level label="ii">
        <text>At least 30 consecutive days of the individual’s nursing facility stay are eligible to be paid for by the Program;</text>
      </level>
      <level label="iii">
        <text>The individual meets all of the eligibility criteria for participation in the home– and community–based services waiver; and</text>
      </level>
      <level label="iv">
        <text>The home– and community–based services provided to the individual would qualify for federal matching funds; or</text>
      </level>
    </level>
    <level label="2">
      <level label="i">
        <text>The individual is living at home or in the community at the time of the application for waiver services;</text>
      </level>
      <level label="ii">
        <text>The individual received home– and community–based services through Community First Choice for at least 30 consecutive days;</text>
      </level>
      <level label="iii">
        <text>The individual will be or has been terminated from participation in the Program on becoming entitled to or enrolled in Medicare Part A or enrolled in Medicare Part B;</text>
      </level>
      <level label="iv">
        <text>The individual meets all of the eligibility criteria for participation in the home– and community–based services waiver within 6 months after the completion of the application; and</text>
      </level>
      <level label="v">
        <text>The home– and community–based services provided to the individual would qualify for federal matching funds.</text>
      </level>
    </level>
  </level>
  <level label="b">
    <text>Nothing in this section is intended to result in a reduction of federal funds available to the Department.</text>
  </level>
</section>
