BED HOLD FOR MEDICAID-COVERED RESIDENTS Sample Clauses

BED HOLD FOR MEDICAID-COVERED RESIDENTS. The Medicaid Program will pay for a bed reservation under the following conditions: 1. In the event of hospitalization, if the Resident is over 21 years of age and not on hospice (we do not have hospice at Daughters of Xxxxx Nursing Center), the Medicaid Program will not pay for holding the bed. 2. In the event of hospitalization, if the Resident is over 21 years of age and is on hospice, the Medicaid Program will pay for holding the bed for up to fourteen (14) days in any twelve (12) month period. (This is not a calendar year, but is as defined by Medicaid.) 3. In the event of a Therapeutic Leave of Absence (such as an overnight stay at a family member’s home), the Medicaid Program will pay for holding the bed for up to a total of ten (10) days in any twelve (12) month period. (This is not a calendar year, but is as defined by Medicaid.) Accordingly, during any period of time that the Medicaid Program is not paying to hold the bed, the Center will not reserve the bed but will instead release the bed. In that event, the Resident Representative will be expected to remove all of the Resident’s belongings from the released room. If the bed has been released, when the Resident is ready to return, the Center will readmit the Resident immediately to the first available, care-appropriate bed (which may not necessarily be the same room that the Resident previously occupied); however, in the case of hospitalization, due to the hospital’s own needs, the hospital discharge planners may arrange for the Resident’s admission to another nursing facility. The Resident and the Resident Representative agree to pay promptly any amounts due to the Center during this period.

BED HOLD FOR MEDICAID-COVERED RESIDENTS. The Medicaid Program will only pay for a bed reservation under the following conditions: There is no coverage for bed holds for Medicaid-sponsored residents who are hospitalized unless they are under the age of twenty-one (21) or enrolled in Hospice. If a non-covered resident is hospitalized, he/she will be officially discharged from the Facility and his/her bed may be made available to someone else. The Resident will be considered for re-admission for the next available appropriate bed. Those Medicaid residents not covered by a paid bed hold who wish to reserve their specific room may pay privately to hold a resident’s bed at the prevailing daily basic rate for as long as they wish, if it is expected that the Resident will return to the Facility from the hospital or from a leave of absence and if the Resident’s payment obligations under this Agreement are not in arrears. If the Medicaid-sponsored Resident leaves the Facility overnight for other than hospitalization (a therapeutic leave of absence), the Resident’s bed will be reserved if the Resident has been in the Facility at least thirty (30) days prior to the leave. The Resident’s bed may be reserved for up to ten (10) days in any twelve (12) month period while the Resident is on a therapeutic or personal leave from the Facility.