Page:United States Statutes at Large Volume 102 Part 3.djvu/437

 PUBLIC LAW 100-485—OCT. 13, 1988

102 STAT. 2389

for which medical assistance under the State plan is available under section 1902(a)(10XC) (relatii^ to medically needy individuals), the State may not discontinue such assistance under such subparagraph untU the State has determined that the individual is not eligible for assistance under the plan. "(4) COVERAGE.—

"(A) IN GENERAL.—During the extension period under this subsection— "(i) the State plan shall offer to each family medical assistance which (subject to subparagraphs (B) and (C)) is the same amount, duration, and scope as would be made available to the family if it were still receiving aid under the plan approved under part A of title IV; and "(ii) the State plan may offer alternative coverage described in subparagraph (D). "(B) EUBfONATION OF MOST NON-ACUTE CARE BENEFITS.—At

a State's option and notwithstanding any other provision of this title, a State may choose not to provide medical assistance under this subsection with respect to any (or all) of the items and services described in paragraphs (4)(A), (6), (7), (8), (11), (13), (14), (15), (16), (18), (20), and (21) of section 1906(a). "(CJ) STATE MEDICAID 'WRAP-AROUND' OPTION.—At a State's option, the State may elect to apply the option described in subsection (a)(4)(B) (relating to 'wrap-around' coverage) for families electing medical assistance under this subsection in the same manner as such option applies to families provided extended eligibility for medical assistance under subsection (a). "(D) ALTERNATIVE ASSISTANCE.—At a State's option, the

State may offer families a choice of health care coverage under one or more of the following, instead of the medi«d assistance otherwise made available under this subsection: "(i) ENROLL&CENT I N FAMILY OPTION OF EMPLOYER

PLAN.—Enrollment of the caretaker relative and dependent children in a family option of the group h ^ t h plan offered to the caretaker relative. "(ii)

ENROLLMENT

I N FAMILY

OPTION

OF STATE

EMPLOYEE PLAN.—Enrollment of the caretaker relative and dependent children in a family option within the options of the group health plan or plans offered by the State to State employees. "(iii) ENROLLACENT I N STATE UNINSURED PLAN.— Enrollment of the caretaker relative and dependent children in a basic State health plan offered by the State to individuals in the State (or areas of the State) otherwise unable to obtain health insurance coverage, "(iv) ENROLLBoan' IN HMO.—Enrollment of the caretaker relative and dependent children in a health maintenance organization (as defined in section 1903(m)(l)(A)) less than 50 percent of the membership (enrolled on a prepaid basis) of which consists of individuals who are eligible to receive benefits under this title (other than because of the option offered under this clause). The option of enrollment under this clause is in addition to, and not in lieu of, any enroll-

�