Page:United States Statutes at Large Volume 79.djvu/388

 348

PUBLIC LAW 89-97-JULY 30, 1965

[79 STAT.

" (22) include descriptions of (A) the kinds and numbers of professional medical personnel and supporting staff that will be used in the administration of the plan and of the responsibilities they will have, (B) the standards, for private or public institutions in which recipients of medical assistance under the plan may receive care or services, that will be utilized by the State authority or authorities responsible for establishing and maintaining such standards, (C) the coop|erative arrangements with State health agencies and State vocational rehabilitation agencies entered into with a view to maximum utilization of and coordination of the provision of medical assistance with the services administered or supervised by such agencies, and (D) other standards and methods that the State will use to assure that medical or remedial care and services provided to recipients of medical assistance are of high quality. Notwithstanding paragraph (5), if on January 1, 1965, and on the date on which a State submits its plan for approval under this title, the State agency which administered or supervised the administration of 1206 "fas/AVs's ^^^ P^^^ ^^ ^^^^ State approved under title X (or title X VI, insofar as it relates to the blind) was different from the State agency which administered or supervised the administration of the State plan 42 USC 301-306. approvcd under title I (or title X VI, insofar as it relates to the aged), the State agency which administered or supervised the administration of such plan approved under title X (or title X VI, insofar as it relates to the blind) may be designated to administer or supervise the administration of the portion of the State plan for medical assistance which relates to blind individuals and a different State agency may be established or designated to administer or supervise the administration of the rest of the State plan for medical assistance; and in such case the part, of the plan which each such agency administers, or the administration of which each such agency supervises, shall be regarded as a separate plan for purposes of this title (except for purposes of paragraph (10)). " (b) The Secretary shall approve any plan which fulfills the conditions specified in subsection (a), except that he shall not approve any plan which imposes, as a condition of eligibility for medical assistance under the plan— "(1) an age requirement of more than 65 years; or "(2) effective July 1, 1967, any age requirement which excludes any individual who has not attained the age of 21 and is or would, 78 Stat. 1042. except for the provisions of section 406(a)(2), be a dependent I 2 S? 6211609. child under title IV; or .,..., "(3) any residence requirement which excludes any individual who resides in the State; or "(4) any citizenship requirement which excludes any citizen of the United States. " (c) Notwithstanding subsection (b), the Secretary shall not approve any State plan for medical assistance if he determines that the approval and operation of the plan will result in a reduction in aid or assistance (other than so much of the aid or assistance as is provided for under the plan of the State approved under this title) provided for eligible individuals under a plan of such State approved 42 USC 301 et ^^^^^j, ^jtle I, IV, X, X IV, Or X VI.

seq.

�