Involuntary Discharge for Non-Payment. To the extent authorized by applicable law, the Facility reserves the right to discharge the Resident if the Resident, Resident Representative and/or Sponsor fails to pay for, or secure third party coverage of the Resident’s care at the Facility, including failing to pay applicable co-insurance and/or NAMI.
Involuntary Discharge for Non-Payment. To the extent authorized by applicable law, the Facility reserves the right to discharge the Resident if the Resident, Resident’s Spouse, Financial Sponsor and/or Designated Representative have failed to pay for, or secure third party coverage of the Resident’s care at the Facility. Non-payment also occurs when the applicable Resident NAMI is not delivered to the Facility. The Resident may be discharged for non-payment only if the charge is owed and is not in dispute or funds are actually available or would be available to the Resident and the Resident and/or the Resident’s Spouse, Financial Sponsor and/or Designated Representative refuse to cooperate with the Facility in obtaining such funds or there is no appeal of a denial of benefits pending Non-payment applies if the Resident or the Resident’s Spouse, Financial Sponsor and/or Designated Representative does not submit necessary paperwork for third party payment, including but not limited to Medicaid payment, or after the third party, including but not limited to Medicaid, denies the claim and the Resident or the Resident’s Spouse, Financial Sponsor and/or Designated Representative refuses to pay for the Resident’s stay at the Facility. Such discharge will comply with Federal rules as contained in 42 CFR 483.15 and New York rules pursuant to 10 N.Y.C.R.R. Section 415.3, as same currently exist or as hereinafter amended or modified.
