[Code of Federal Regulations] [Title 12, Volume 1] [Revised as of January 1, 2003] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR441.103] [Page 262] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES--(Continued) PART 441--SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICES--Table of Contents Subpart C--Medicaid for Individuals Age 65 or Over in Institutions for Mental Diseases Sec. 441.103 Alternate plans of care. (a) The agency must develop alternate plans of care for each recipient age 65 or older who would otherwise need care in an institution for mental diseases. (b) These alternate plans of care must-- (1) Make maximum use of available resources to meet the recipient's medical, social, and financial needs; and (2) In Guam, Puerto Rico, and the Virgin Islands, make available appropriate social services authorized under sections 3(a)(4) (i) and (ii) or 1603(a)(4)(A) (i) and (ii) of the Act.