Important Information - Please Read Carefully. The Medical Assistance Program, also known as Medicaid, is a governmental program to help people pay their medical bills. To be eligible, one must be financially unable to pay the cost of medically necessary care. Eligibility, therefore, has two tests: (1) financial eligibility; and (2) medical eligibility. Financial eligibility is determined by the local Department of Social Services. Medical eligibility is determined by the Medical Assistance Program. It is important to understand that even if you can no longer afford to pay for nursing facility care, Medical Assistance will not pay for nursing facility services unless you are also medically eligible for these services. You may obtain information regarding financial eligibility from the local Department of Social Services at no cost. If you want to know if you are medically eligible before you apply for Medicaid Assistance, for a nominal fee, you may obtain an assessment of your medical eligibility from the same contractor who currently functions as the State Review Agent for the Medical Assistance Program. To obtain an assessment of your potential medical eligibility, you may call the current State Review Agent, Xxxxxxxx, at 0-000-000-0000 or you may write to Delmarva at: Delmarva Attn: Xxxxxx Xxxxxxxx Delmarva Foundation 0000 Xxxxxxxxxxx Xxxx Easton, Maryland 21601 Medical conditions of nursing facility residents change over time. Therefore, the assessment you receive is advisory only and is not binding on the Medical Assistance Program. The assessment will, however, assist you in making an informed decision regarding your need for nursing facility care or for less intensive community based care. Community alternatives to nursing facility services are available. Information about community alternatives can be obtained from your Local Health Department, Geriatric Evaluations Services and from your local Area Agency on Aging Office. If you want additional information regarding Medical Assistance nursing facility benefits, please do not hesitate to call (000)000-0000 and ask for the Nursing Facility Program Specialist. Items and services not covered by Medicare or Medicaid and related charges are listed below. You may be charged for these items and services if the Resident or you (or the Resident's physician with the Resident's or your approval) ask for and receive them. The services marked with an (*) may have a separate supply charge. You will be notified of those charges at the time the supplies are ordered.
Appears in 1 contract
Samples: Financial Agreement
Important Information - Please Read Carefully. The Medical Assistance Program, also known as Medicaid, is a governmental program to help people pay their medical bills. To be eligible, one must be financially unable to pay the cost of medically necessary care. Eligibility, therefore, has two tests: (1) financial eligibility; and (2) medical eligibility. Financial eligibility is determined by the local Department of Social Services. Medical eligibility is determined by the Medical Assistance Program. It is important to understand that even if you can no longer afford to pay for nursing facility care, Medical Assistance will not pay for nursing facility services unless you are also medically eligible for these services. You may obtain information regarding financial eligibility from the local Department of Social Services at no cost. If you want to know if you are medically eligible before you apply for Medicaid Medical Assistance, for a nominal fee, you may obtain an assessment of your medical eligibility from the same contractor who currently functions as the State Review Agent for the Medical Assistance Program. To obtain an assessment of your potential medical eligibility, you may call the current State Review Agent, Xxxxxxxx, Telligen at 0-000-000(000)000-0000 or you may write to Delmarva Telligen at: Delmarva Attn: Xxxxxx Xxxxxxxx Delmarva Foundation 0000 Xxxxxxxxxxx Xxxx Easton, Maryland 21601 Medical conditions of nursing facility residents change over time. Therefore, the assessment you receive is advisory only and is not binding on the Medical Assistance Program. The assessment will, however, assist you in making an informed decision regarding your need for nursing facility care or for less intensive community based care. Community alternatives to nursing facility services are available. Information about community alternatives can be obtained from your Local Health Department, Geriatric Evaluations Services and from your local Area Agency on Aging Office. If you want additional information regarding Medical Assistance nursing facility benefits, please do not hesitate to call (000)000-0000 and ask for the Nursing Facility Program Specialist. Items and services not covered by Medicare or Medicaid and related charges are listed below. You may be charged for these items and services if the Resident or you (or the Resident's physician with the Resident's or your approval) ask for and receive them. The services marked with an (*) may have a separate supply charge. You will be notified of those charges at the time the supplies are ordered.
Appears in 1 contract
Samples: Admission Contract
Important Information - Please Read Carefully. The Medical Assistance Program, also known as Medicaid, is a governmental program to help people pay their medical bills. To be eligible, one must be financially unable to pay the cost of medically necessary care. Eligibility, therefore, has two tests: (1) financial eligibility; and (2) medical eligibility. Financial eligibility is determined by the local Department of Social Services. Medical eligibility is determined by the Medical Assistance Program. It is important to understand that even if you can no longer afford to pay for nursing facility care, Medical Assistance will not pay for nursing facility services unless you are also medically eligible for these services. You may obtain information regarding financial eligibility from the local Department of Social Services at no cost. If you want to know if you are medically eligible before you apply for Medicaid Assistance, for a nominal fee, you may obtain an assessment of your medical eligibility from the same contractor who currently functions as the State Review Agent for the Medical Assistance Program. To obtain an assessment of your potential medical eligibility, you may call the current State Review Agent, Xxxxxxxx, Telligen at 0-000-000(000)000-0000 or you may write to Delmarva Telligen at: Delmarva Attn: Xxxxxx Xxxxxxxx Delmarva Foundation 0000 Xxxxxxxxxxx Xxxx EastonColumbia, Maryland 21601 MD 21046 Medical conditions of nursing facility residents change over time. Therefore, the assessment you receive is advisory only and is not binding on the Medical Assistance Program. The assessment will, however, assist you in making an informed decision regarding your need for nursing facility care or for less intensive community based care. Community alternatives to nursing facility services are available. Information about community alternatives can be obtained from your Local Health Department, Geriatric Evaluations Services and from your local Area Agency on Aging Office. If you want additional information regarding Medical Assistance nursing facility benefits, please do not hesitate to call (000)000-0000 and ask for the Nursing Facility Program Specialist. Items and services not covered by Medicare or Medicaid and related charges are listed below. You may be charged for these items and services if the Resident or you (or the Resident's physician with the Resident's or your approval) ask for and receive them. The services marked with an (*) may have a separate supply charge. You will be notified of those charges at the time the supplies are ordered.
Appears in 1 contract
Samples: Financial Agreement
Important Information - Please Read Carefully. The Medical Assistance Program, also known as Medicaid, is a governmental program to help people pay their paytheir medical bills. To be eligible, one must be financially unable to pay the cost of medically necessary care. Eligibility, therefore, has two tests: (1) financial eligibility; and (2) medical eligibility. Financial eligibility is determined by the local Department of Social Services. Medical eligibility is determined by the Medical Assistance Program. It is important to understand that even if you can no longer afford to pay for nursing facility care, Medical Assistance will not pay for nursing facility services unless you are also medically eligible for these services. You may obtain information regarding financial eligibility from the local Department of Social Services at no cost. If you want to know if you are medically eligible before you apply for Medicaid Medical Assistance, for a nominal fee, you may obtain an assessment of your medical eligibility from the same contractor who currently functions currentlyfunctions as the State Review Agent ReviewAgent for the Medical Assistance Program. To obtain an assessment of your potential medical eligibility, you may call the current State Review Agent, Xxxxxxxx, Telligen at 0-000-000-0000 or you may write to Delmarva Telligen at: Delmarva Attn: Xxxxxx Telligen, Inc. 00000 Xxx Xxxxxxxx Delmarva Foundation 0000 Xxxxxxxxxxx Xxxx EastonXx. #000 Columbia, Maryland 21601 MD 21046 Medical conditions of nursing facility residents facilityresidents change over time. Therefore, the assessment you receive is advisory only and onlyand is not binding on the Medical Assistance Program. The assessment will, however, assist you in making an informed decision regarding your need for nursing facility care or for less intensive community based care. Community alternatives to nursing facility services are available. Information about community alternatives can be obtained from your Local Health Department, Geriatric Evaluations Services and from your local Area Agency on Aging Office. If you want additional information regarding Medical Assistance nursing facility benefits, please do not hesitate to call (000)000-0000 and ask for the Nursing Facility Program Specialist. Items and services not covered by Medicare or Medicaid and related charges are listed below. You may be charged for these items and services if the Resident or you (or the Resident's your physician with the Resident's or your approval) ask for and you receive them. The services marked with an (*) may have a separate supply charge. You will be notified of those charges at the time the supplies are ordered.
Appears in 1 contract
Samples: Admission Contract
Important Information - Please Read Carefully. The Medical Assistance Program, also known as Medicaid, is a governmental program to help people pay their medical bills. To be eligible, one must be financially unable to pay the cost of medically necessary care. Eligibility, therefore, has two tests: (1) financial eligibility; and (2) medical eligibility. Financial eligibility is determined by the local Department of Social Services. Medical eligibility is determined by the Medical Assistance Program. It is important to understand that even if you can no longer afford to pay for nursing facility care, Medical Assistance will not pay for nursing facility services unless you are also medically eligible for these services. You may obtain information regarding financial eligibility from the local Department of Social Services at no cost. If you want to know if you are medically eligible before you apply for Medicaid Medical Assistance, for a nominal fee, you may obtain an assessment of your medical eligibility from the same contractor who currently functions as the State Review Agent for the Medical Assistance Program. To obtain an assessment of your potential medical eligibility, you may call the current State Review Agent, XxxxxxxxKePRO, at 0-000-000-0000 1‑866‑581‑6773 or you may write to Delmarva KePRO at: Delmarva Attn: Xxxxxx Xxxxxxxx Delmarva Foundation 0000 Xxxxxxxxxxx KePRO Executive Plaza II 00000 XxXxxxxxx Xxxx, Suite 102 Xxxx EastonValley, Maryland 21601 21031 Medical conditions of nursing facility residents change over time. Therefore, the assessment you receive is advisory only and is not binding on the Medical Assistance Program. The assessment will, however, assist you in making an informed decision regarding your need for nursing facility care or for less intensive community based care. Community alternatives to nursing facility services are available. Information about community alternatives can be obtained from your Local Health Department, Geriatric Evaluations Services and from your local Area Agency on Aging Office. If you want additional information regarding Medical Assistance nursing facility benefits, please do not hesitate to call (000)000-0000 and ask for the Nursing Facility Program Specialist. Items and services not covered by Medicare or Medicaid and related charges are listed below. You may be charged for these items and services if the Resident or you (or the Resident's your physician with the Resident's or your approval) ask for and you receive them. The services marked with an (*) may have a separate supply charge. You will be notified of those charges at the time the supplies are ordered.
Appears in 1 contract
Samples: Admission Contract
Important Information - Please Read Carefully. The Medical Assistance Program, also known as Medicaid, is a governmental program to help people pay their medical bills. To be eligible, one must be financially unable to pay the cost of medically necessary care. Eligibility, therefore, has two tests: (1) financial eligibility; and (2) medical eligibility. Financial eligibility is determined by the local Department of Social Services. Medical eligibility is determined by the Medical Assistance Program. It is important to understand that even if you can no longer afford to pay for nursing facility care, Medical Assistance will not pay for nursing facility services unless you are also medically eligible for these services. You may obtain information regarding financial eligibility from the local Department of Social Services at no cost. If you want to know if you are medically eligible before you apply for Medicaid Medical Assistance, for a nominal fee, you may obtain an assessment of your medical eligibility from the same contractor who currently functions as the State Review Agent for the Medical Assistance Program. To obtain an assessment of your potential medical eligibility, you may call the current State Review Agent, XxxxxxxxKePRO, at 0-000-000-0000 or you may write to Delmarva KePRO at: Delmarva Attn: Xxxxxx Xxxxxxxx Delmarva Foundation 0000 Xxxxxxxxxxx Xxxx Easton, Maryland 21601 Medical conditions of nursing facility residents change over time. Therefore, the assessment you receive is advisory only and is not binding on the Medical Assistance Program. The assessment will, however, assist you in making an informed decision regarding your need for nursing facility care or for less intensive community based care. Community alternatives to nursing facility services are available. Information about community alternatives can be obtained from your Local Health Department, Geriatric Evaluations Services and from your local Area Agency on Aging Office. If you want additional information regarding Medical Assistance nursing facility benefits, please do not hesitate to call (000)000-0000 and ask for the Nursing Facility Program Specialist. Items and services not covered by Medicare or Medicaid and related charges are listed below. You may be charged for these items and services if the Resident or you (or the Resident's your physician with the Resident's or your approval) ask for and you receive them. The services marked with an (*) may have a separate supply charge. You will be notified of those charges at the time the supplies are ordered.
Appears in 1 contract
Samples: Admission Contract
Important Information - Please Read Carefully. The Medical Assistance Program, also known as Medicaid, is a governmental program to help people pay their paytheir medical bills. To be eligible, one must be financially unable to pay the cost of medically necessary care. Eligibility, therefore, has two tests: (1) financial eligibility; and (2) medical eligibility. Financial eligibility is determined by the local Department of Social Services. Medical eligibility is determined by the Medical Assistance Program. It is important to understand that even if you can no longer afford to pay for nursing facility care, Medical Assistance will not pay for nursing facility services unless you are also medically eligible for these services. You may obtain information regarding financial eligibility from the local Department of Social Services at no cost. If you want to know if you are medically eligible before you apply for Medicaid Assistance, for a nominal fee, you may obtain an assessment of your medical eligibility from the same contractor who currently functions currentlyfunctions as the State Review Agent ReviewAgent for the Medical Assistance Program. To obtain an assessment of your potential medical eligibility, you may call the current State Review Agent, XxxxxxxxTelligen, at 0-000-000-0000 or you may write to Delmarva Telligen at: Delmarva Attn: Xxxxxx Xxxxxxxx Delmarva Foundation 0000 Xxxxxxxxxxx Xxxx Easton, Maryland 21601 Medical conditions of nursing facility residents facilityresidents change over time. Therefore, the assessment you receive is advisory only and onlyand is not binding on the Medical Assistance Program. The assessment will, however, assist you in making an informed decision regarding your need for nursing facility care or for less intensive community based care. Community alternatives to nursing facility services are available. Information about community alternatives can be obtained from your Local Health Department, Geriatric Evaluations Services and from your local Area Agency on Aging Office. If you want additional information regarding Medical Assistance nursing facility benefits, please do not hesitate to call (000)000-0000 and ask for the Nursing Facility Program Specialist. Items and services not covered by Medicare or Medicaid and related charges are listed below. You may be charged for these items and services if the Resident or you (or the Resident's physician with the Resident's or your approval) ask for and receive them. The services marked with an (*) may have a separate supply charge. You will be notified of those charges at the time the supplies are ordered.
Appears in 1 contract
Samples: Financial Agreement
Important Information - Please Read Carefully. The Medical Assistance Program, also known as Medicaid, is a governmental program to help people pay their medical bills. To be eligible, one must be financially unable to pay the cost of medically necessary care. Eligibility, therefore, has two tests: (1) financial eligibility; and (2) medical eligibility. Financial eligibility is determined by the local Department of Social Services. Medical eligibility is determined by the Medical Assistance Program. It is important to understand that even if you can no longer afford to pay for nursing facility care, Medical Assistance will not pay for nursing facility services unless you are also medically eligible for these services. You may obtain information regarding financial eligibility from the local Department of Social Services at no cost. If you want to know if you are medically eligible before you apply for Medicaid Assistance, for a nominal fee, you may obtain an assessment of your medical eligibility from the same contractor who currently functions as the State Review Agent for the Medical Assistance Program. To obtain an assessment of your potential medical eligibility, you may call the current State Review Agent, XxxxxxxxDelmarva, at 0-0001‑000-000-0000 or you may write to Delmarva at: Delmarva Attn: Xxxxxx Xxxxxxxx Delmarva Foundation 0000 Xxxxxxxxxxx Xxxx Easton, Maryland 21601 Medical conditions of nursing facility residents change over time. Therefore, the assessment you receive is advisory only and is not binding on the Medical Assistance Program. The assessment will, however, assist you in making an informed decision regarding your need for nursing facility care or for less intensive community based care. Community alternatives to nursing facility services are available. Information about community alternatives can be obtained from your Local Health Department, Geriatric Evaluations Services and from your local Area Agency on Aging Office. If you want additional information regarding Medical Assistance nursing facility benefits, please do not hesitate to call (000)000-0000 and ask for the Nursing Facility Program Specialist. Items and services not covered by Medicare or Medicaid and related charges are listed below. You may be charged for these items and services if the Resident or you (or the Resident's physician with the Resident's or your approval) ask for and receive them. The services marked with an (*) may have a separate supply charge. You will be notified of those charges at the time the supplies are ordered.
Appears in 1 contract
Samples: Financial Agreement