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Home » US Law » 2022 California Code » Welfare and Institutions Code - WIC » DIVISION 12 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE

Section 22000.

22000. The California Partnership for Long-Term Care Program is hereby established. (Amended by Stats. 1999, Ch. 802, Sec. 1. Effective January 1, 2000.)

Section 22001.

22001. The purpose of the program is to link private long-term care insurance and health care service plan contracts that cover long-term care with the In-Home Supportive Services program (Article 7 (commencing with Section 12300) of Chapter 3 of Part 3 of Division 9) and Medi-Cal, and to provide specified in-home supportive services benefits and […]

Section 22002.

22002. The State Department of Health Care Services shall seek any federal waivers and approvals necessary to accomplish the purposes of this division. (Amended by Stats. 2016, Ch. 487, Sec. 3. (SB 1384) Effective January 1, 2017.)

Section 22003.

22003. (a) Individuals who participate in the program and have resources above the eligibility levels for receipt of medical assistance under Title XIX of the Social Security Act (Subchapter XIX (commencing with Section 1396) of Chapter 7 of Title 42 of the United States Code) shall be eligible to receive those in-home supportive services benefits specified […]

Section 22004.

22004. Notwithstanding other provisions of law, the resources, to the extent described in subdivision (c), of an individual who purchases an approved and certified long-term care insurance policy or health care service plan contract which covers long-term care services shall not be considered by: (a) The State Department of Health Care Services in determining: (1) Medi-Cal eligibility. […]

Section 22005.

22005. The State Department of Health Care Services shall only certify a long-term care insurance policy or a health care service plan contract that meets the Medi-Cal asset protection requirements. (Amended by Stats. 2016, Ch. 487, Sec. 6. (SB 1384) Effective January 1, 2017.)

Section 22005.1.

22005.1. (a) The State Department of Health Care Services shall only certify a long-term care insurance policy that substantially meets the requirements of Chapter 2.6 (commencing with Section 10231) of Part 2 of Division 2 of the Insurance Code, except the requirements of Sections 10232.1, 10232.2, 10232.8, 10232.9, and 10232.92 of the Insurance Code, and that […]

Section 22005.2.

22005.2. (a) Each organization issuing policies certified by the State Department of Health Care Services under this division shall each year contribute to a fund to be used for common educational and marketing expenses for reaching the target population designated by the California Partnership for Long-Term Care Program. The amount of each participating issuer’s required annual […]

Section 22005.3.

22005.3. (a) The insurer or producer shall, at the time of application, provide all of the following to the applicant: (1) A graph that illustrates the difference in premium rates and policy benefits payable in accordance with the inflation protection provisions described in Section 22005.1. (2) An illustration of the differences in benefits between the policies described in […]

Section 22006.

22006. The State Department of Health Care Services, in determining eligibility for Medi-Cal, and the State Department of Social Services, in determining eligibility for in-home supportive services, shall exclude resources up to, or equal to, the amount of insurance payments or benefits paid by approved and certified long-term care insurance policies or health care service […]

Section 22007.

22007. The program shall be designed so that the estimated aggregate state expenditures for long-term care services for individuals participating in the program do not exceed the aggregate expenditures that would be made for these services under the Medi-Cal program in effect prior to the implementation of this program. (Amended by Stats. 1999, Ch. 802, […]

Section 22008.

22008. Advice and counseling may be provided by the Health Insurance Counseling and Advocacy program within the California Department of Aging to individuals interested in purchasing long-term care insurance or health care service plan contracts that cover long-term care services approved and certified pursuant to this division. (Amended by Stats. 1999, Ch. 802, Sec. 11. […]

Section 22008.5.

22008.5. Individuals who participate in the program shall remain eligible for those in-home supportive services benefits and those Medi-Cal benefits for which they are eligible under the program for the life of the purchaser of the policy or contract, as long as the purchaser maintains his or her insurance policy or health care service plan […]

Section 22009.

22009. (a) The State Department of Health Care Services shall adopt regulations to implement this division, including, but not limited to, regulations that establish: (1) The population and age groups that are eligible to participate in the program. (2) The minimum level of long-term care insurance or long-term care coverage included in health care service plan contracts that […]

Section 22010.

22010. (a) In implementing this division, the State Department of Health Care Services may contract, on a bid or nonbid basis, with any qualified individual, organization, or entity for services needed to implement the project, and may negotiate contracts, on a nonbid basis, with long-term care insurers, health care service plans, or both, for the provision […]