| 4.__Limitation.__The assessment procedure required by this |
| section must be interpreted by the department to require periodic |
| certification of eligibility for residents of nursing facilities |
| who have end-stage diseases or who are terminally ill by either |
| the department or the federal Department of Health and Human |
| Services.__If a federally required assessment of eligibility for |
| services is completed to cover an eligibility period similar to |
| the state eligibility period, assessment under this section must |
| be waived by the department. |