Page:United States Statutes at Large Volume 124.djvu/951

124 STAT. 925 PUBLIC LAW 111–148—MAR. 23, 2010 (3) MAINTENANCE OF ELIGIBILITY REQUIREMENTS.—The State does not apply eligibility standards, methodologies, or procedures for determining eligibility for medical assistance for non-institutionally-based long-term services and supports described in subsection (f)(1)(B) under the State Medicaid pro- gram that are more restrictive than the eligibility standards, methodologies, or procedures in effect for such purposes on December 31, 2010. (4) USE OF ADDITIONAL FUNDS.—The State agrees to use the additional Federal funds paid to the State as a result of this section only for purposes of providing new or expanded offerings of non-institutionally-based long-term services and supports described in subsection (f)(1)(B) under the State Med- icaid program. (5) STRUCTURAL CHANGES.—The State agrees to make, not later than the end of the 6-month period that begins on the date the State submits an application under this section, the following changes: (A) ‘‘NO WRONG DOOR—SINGLE ENTRY POINT SYSTEM’’.— Development of a statewide system to enable consumers to access all long-term services and supports through an agency, organization, coordinated network, or portal, in accordance with such standards as the State shall establish and that shall provide information regarding the avail- ability of such services, how to apply for such services, referral services for services and supports otherwise avail- able in the community, and determinations of financial and functional eligibility for such services and supports, or assistance with assessment processes for financial and functional eligibility. (B) CONFLICT-FREE CASE MANAGEMENT SERVICES.—Con- flict-free case management services to develop a service plan, arrange for services and supports, support the bene- ficiary (and, if appropriate, the beneficiary’s caregivers) in directing the provision of services and supports for the beneficiary, and conduct ongoing monitoring to assure that services and supports are delivered to meet the bene- ficiary’s needs and achieve intended outcomes. (C) CORE STANDARDIZED ASSESSMENT INSTRUMENTS.— Development of core standardized assessment instruments for determining eligibility for non-institutionally-based long-term services and supports described in subsection (f)(1)(B), which shall be used in a uniform manner through- out the State, to determine a beneficiary’s needs for training, support services, medical care, transportation, and other services, and develop an individual service plan to address such needs. (6) DATA COLLECTION.—The State agrees to collect from providers of services and through such other means as the State determines appropriate the following data: (A) SERVICES DATA.—Services data from providers of non-institutionally-based long-term services and supports described in subsection (f)(1)(B) on a per-beneficiary basis and in accordance with such standardized coding proce- dures as the State shall establish in consultation with the Secretary. Procedures. Standards. Deadline.