Page:United States Statutes at Large Volume 86.djvu/1522

 1480

PUBLIC LAW 92-603-OCT. 30, 1972

[86 STAT.

"(10) include reasonable standards, consistent with the objectives of this title, for determining eligibility for and the extent of services under the plan; "(11) if the State plan includes services to individuals 65 years of age or older who are patients in institutions for mental diseases— " (A) provide for having in effect such agreements or other arrangements with State authorities concerned with mental diseases, and where appropriate, with such institutions, as may be necessary for carrying out the State plan, including arrangements for joint planning and for development of alternate methods of care, arrangements providing assurance of immediate readmittance to institutions where needed for individuals under alternate plans of care, and arrangements providing for access to patients and facilities, for furnishing information, and for making reports; " (B) provide for an individual plan for each such patient to assure that the institutional care provided to him is in his best interests, including, to that end, assurances that there will be initial and periodic review of his medical and other needs, that he will be given appropriate medical treatment within the institution, and that there will be a periodic determination of his need for continued treatment in the institution; and " (C) provide for the development of alternate plans of care, making maximum utilization of available resources, for persons receiving services under the State plan who are 65 years of age or older and who would otherwise need care in such institutions; for services referred to in section 6 0 3 (a)(1)(A)(i) and (ii) which are appropriate for such persons receiving services and for such patients; and for methods of administration necessary to assure that the responsibilities of the State agency under the State plan with respect to such persons receiving services and such patients will be effectively carried out; " (12) if the State plan includes services to individuals 65 years of age or older who are patients in public institutions for mental diseases, show that the State is making satisfactory progress toward developing and implementing a comprehensive mental health program, including provision for utilization of community mental health centers, nursing homes, and other alternatives to care in public institutions for mental diseases. Notwithstanding paragraph (3), if on October 1, 1972, the State agency which administered or supervised the administration of the 42 USC 1201. plan of such State approved under title X (or so much of the plan of Ante, p. 1465. g^ich State approved under title X VI as applies to the blind) was different from the State agency which administered or supervised the 42 USC 30 administration of the plan of such State approved under title I and the State agency which administered or supervised the administration of 42 USC 1351. the plan of such State approved under title X IV (or so much of the plan of such State approved under title X VI as applies to the aged and disabled), the State agency which administered or supervised the administration of such plan approved under title X (or so much of the plan of such State approved under title X VI as applies to the blind) may be designated to administer or supervise the administration of the portion of the State plan for services to the aged, blind, or disabled which relates to blind individuals and a separate State agency may be established or designated to administer or supervise the administra-

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