‘‘(iii) 
QUALIFICATIONS
OF
PRO-
VIDERS.—Such items and services are pro-
vided through health care providers that— 
‘‘(I) meet such certification or 
other quality requirements as may be 
necessary to participate in the pro-
gram of medical assistance under this 
title or in the program under title 
XVIII; and 
‘‘(II) 
maintain 
records 
on 
ChiPACC eligible individuals enrolled 
in the program and to whom the pro-
vider furnishes services, reflecting 
both the specific care and services fur-
nished by the provider and the rela-
tionship of those services to the com-
prehensive plan of care for that indi-
vidual and to the delivery of other 
services to the individual through the 
program. 
‘‘(2) CHIPACC ELIGIBLE
INDIVIDUAL.—The 
term ‘ChiPACC eligible individual’ means, with re-
spect to a ChiPACC, an individual— 
‘‘(A) who, at the time of enrollment in the 
ChiPACC, is a child (as defined under the State 
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plan for this purpose) and who is not older than 
such age as the State may specify; 
‘‘(B) who suffers from a serious illness or 
health condition that is life threatening; 
‘‘(C) for whom there is a reasonable likeli-
hood that the child’s life will be threatened by 
such illness or condition; 
‘‘(D) whose health status is expected to de-
cline because of such illness or condition before 
attaining full adulthood (as defined under the 
State plan); 
‘‘(E) resides in the service area of the 
ChiPACC; and 
‘‘(F) is eligible for medical assistance 
under the State plan without regard to this sec-
tion (or, but for enrollment in a ChiPACC 
would, based on the individual’s illness or 
health condition or the projected cost of treat-
ment required for such illness or condition, be-
come so eligible). 
The Secretary may waive the application of subpara-
graph (F) with respect to eligibility for medical as-
sistance under the State plan without regard to this 
section in the case of individuals if the State dem-
onstrates to the satisfaction of the Secretary that 
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the sum of the additional expenditures under this 
title resulting from such waiver in a fiscal year will 
not exceed the aggregate savings in expenditures 
otherwise resulting from the implementation of this 
section in the fiscal year. 
‘‘(3) 
CHIPACC 
COORDINATOR.—The 
term 
‘ChiPACC coordinator’ means, with respect to a 
ChiPACC, an entity (which may be the State admin-
istering agency or another entity under an arrange-
ment with such an agency) that directs, supervises, 
and assures the coordination of comprehensive serv-
ices to ChiPACC eligible individuals enrolled in the 
ChiPACC consistent with the following: 
‘‘(A) The entity must assure the direct and 
continuous involvement of an interdisciplinary 
health professional team in managing and co-
ordinating the provision of care and services 
within the coordinator’s responsibility to each 
such enrolled individual. 
‘‘(B) The entity must include on its staff, 
or otherwise arrange for the provision of serv-
ices, through contracts or otherwise, of each of 
the types of the health care professionals and 
other service providers required to provide the 
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items and services required under subsection 
(c)(1)(A). 
‘‘(C) To the extent consistent with provi-
sion of the highest quality of care to enrolled 
individuals— 
‘‘(i) promote the utilization of volun-
teers in the provision of care and services 
under the ChiPACC, in accordance with 
standards set by the Secretary, which 
standards shall ensure a continuing level of 
effort to utilize such volunteers; and 
‘‘(ii) ensure that records are main-
tained on the use of such volunteers and 
the cost savings and expansion of care and 
services achieved through the use of such 
volunteers. 
‘‘(4) INTERDISCIPLINARY
HEALTH
PROFES-
SIONAL
TEAM.—The term ‘interdisciplinary health 
professional team’ means, with respect to a 
ChiPACC, a group of health professionals that— 
‘‘(A) includes at least— 
‘‘(i) one physician (as defined in sec-
tion 1861(r)(1)); 
‘‘(ii) one registered professional nurse; 
and 
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‘‘(iii) one social worker, pastoral coun-
selor, or other counselor; 
‘‘(B) develops a comprehensive plan of care 
for ChiPACC eligible individuals enrolled with 
the ChiPACC and furnishes, or supervises the 
provision of, care and services described in sub-
section (c)(1) to an individual enrolled in the 
ChiPACC; and 
‘‘(C) through direct action and communica-
tion with health care providers furnishing serv-
ices under the ChiPACC, on behalf of or under 
the direction or supervision of a State admin-
istering agency or a ChiPACC coordinator, co-
ordinates the care and services furnished to 
such enrollees in a manner that takes into ac-
count the best interests of each such enrollee 
and the enrollee’s family. 
‘‘(5) STATE
ADMINISTERING
AGENCY.—The 
term ‘State administering agency’ means, with re-
spect to the operation of a ChiPACC in a State, the 
agency of that State (which may be the single agen-
cy responsible for administration of the State plan 
under this title in the State) responsible for the im-
plementation, either directly or through arrange-
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