Medicaid Recipients Sample Clauses

Medicaid Recipients. Medicaid regulations provide that when a Medicaid recipient has been a resident in the Facility for a minimum of thirty (30) days and the facility’s vacancy rate is less than five (5%) percent, the resident’s bed will be reserved for the resident for hospitalization and health care professional therapeutic visits1 or other leaves of absence. The Medicaid bed hold for both temporary hospitalizations and health care professional therapeutic visits is limited to a combined aggregate of fourteen (14) days in any twelve (12) month period. For other leaves of absence included in the resident’s plan of care, the resident’s bed will be held for a maximum of ten (10) days in a twelve (12) month period. Medicaid recipients who do not meet the bed hold eligibility requirements or whose bed hold has expired or has been terminated, may elect to secure the same bed in the Facility by notifying the Admission Department by telephone and signing a bed guarantee letter with the Admission Department stating their intent to hold their bed at the facility’s private pay rate.
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Medicaid Recipients. Medicaid regulations provide that when a Medicaid recipient has been a resident in the Facility for a minimum of thirty (30) days and the Facility’s vacancy rate is less than five (5%) percent, the Resident’s bed will be reserved for: (1) Residents under 21 years of age for temporary hospitalization and therapeutic leave; (2) Residents 21 and over who are receiving hospice services for temporary hospitalization. The Medicaid bed hold is limited for fourteen (14) days in any twelve (12) month period; (3) Residents 21 and over for non-hospitalization therapeutic leaves of absence (“Therapeutic Leave”). The Medicaid bed hold for Therapeutic Leave is limited to ten (10) days in a twelve (12) month period.
Sample 1Sample 2Sample 3See All (21)
Medicaid Recipients. Medicaid regulations provide that when a Medicaid recipient has been a resident in the Facility for a minimum of thirty (30) days and the Facility’s vacancy rate is less than five (5%) percent, the Resident’s bed will be reserved for: (1) Residents under 21 years of age for temporary hospitalization and therapeutic leave; (2) Residents 21 and over who are receiving hospice services for temporary hospitalization. The Medicaid bed hold is limited for fourteen (14) days in any twelve
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Medicaid Recipients. For in-office laboratory procedures and immunizations provided to a Medicaid Recipient, RME will pay Contractor, as payment in full, the amount Contractor would receive from the Colorado Department of Health Care Policy and Financing (CDHCPF) under the Medicaid program, as administered by CDHCPF for such immunizations. If Medicaid Recipients are not Covered Persons under this Agreement, and Contractor provides services otherwise covered under this Agreement to a Medicaid Recipient, RME will pay Contractor the amount Contractor would receive from CDHCPF under the Medicaid program, as administered by CDHCPF, for such services.
Sample 1
Medicaid Recipients. If a Medicaid Recipient is hospitalized, the Resident’s bed will be held for up to ten (10) days if such bed hold is 1) requested on behalf of the Resident; 2) authorized by a physician; 3) approved by the Illinois Department of Public Aid (IDPA); and 4) is authorized according to all applicable IDPA Rules. A Medicaid Recipient or applicant shall be considered a Resident in the Facility during any hospital stay totaling ten (10) days or less following a hospital admission. In the event that a Medicaid Recipient departs the Facility for therapeutic leave or a home visit, the Resident’s bed will be held for up to seven (7) consecutive days if such bed hold is 1) requested on behalf of the Resident; and 2) is authorized according to all applicable IDPA Rules. If a Medicaid Recipient’s hospitalization exceeds a period of ten (10) consecutive days or if a therapeutic leave exceeds seven (7) consecutive days, then the Facility may treat the Resident’s bed as open and available and place another resident into the bed immediately. If a Medicaid Recipient is hospitalized for a period in excess of the ten (10) day Medicaid payment limit for bed holds, the Medicaid Recipient may elect to make bed hold payments to reserve the bed until he or she returns from the hospital. The bed hold payments will be at the current daily rate.
Sample 1
Medicaid Recipients. Persons whose medical expenses are covered under Medicaid are not eligible to participate under the subscription ambulance membership plan.
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Related to Medicaid Recipients

  • Medicaid If and when the Resident’s assets/funds have fallen below the Medicaid eligibility levels, and the Resident otherwise satisfies the Medicaid eligibility requirements and is not entitled to any other third party coverage, the Resident may be eligible for Medicaid (often referred to as the “payor of last resort”). THE RESIDENT, RESIDENT REPRESENTATIVE AND SPONSOR AGREE TO NOTIFY THE FACILITY AT LEAST THREE (3) MONTHS PRIOR TO THE EXHAUSTION OF THE RESIDENT’S FUNDS (APPROXIMATELY $50,000) AND/OR INSURANCE COVERAGE TO CONFIRM THAT A MEDICAID APPLICATION HAS OR WILL BE SUBMITTED TIMELY AND ENSURE THAT ALL ELIGIBILITY REQUIREMENTS HAVE BEEN MET. THE RESIDENT, RESIDENT REPRESENTATIVE AND/OR SPONSOR AGREE TO PREPARE AND FILE AN APPLICATION FOR MEDICAID BENEFITS PRIOR TO THE

  • Medicare Parts A and B of the health care program for the aged and disabled provided by Title XVIII of the United States Social Security Act, as amended from time to time. [MEMBER]. An eligible person who is covered under this Contract (includes Covered Employee[ and covered Dependents, if any)].

  • Child Care Leave Subd.1. A child care leave may be granted by the School District subject to the provisions of these sections. Child care leave may be granted because of the need to prepare and provide parental care for a child or children of the teacher for an extended period of time. Subd.2. A teacher making application for child care leave shall inform the superintendent in writing of intention to take the leave at least three calendar months before commencement of the intended leave. Subd.3. If the reason for the child care leave is occasioned by pregnancy, a teacher may utilize sick leave pursuant to the sick leave provisions of the Agreement during a period of physical disability. However, a teacher shall not be eligible for sick leave during a period of time covered by a child care leave. A pregnant teacher will also provide, at the time of the leave application, a statement from a physician indicating the expected date of delivery. Subd.4. The School District may adjust the proposed beginning and ending date of a child care leave so that the dates of the leave are coincident with some natural break in the school year - i.e., winter vacation, spring vacation, semester break or quarter break, end of a grading period, end of the school year, or the like. Subd.5. In making a determination concerning the commencement and duration of a child care leave, the School District shall not, in any event, be required to: (a) Grant any leave more than twelve (12) months in duration. (b) Permit the teacher to return to his or her employment prior to the date designated in the request for child care leave. Subd.6. Teachers returning from childcare leave shall be re-employed in a position for which they are licensed unless previously discharged or placed on unrequested leave. Subd.7. Failure of the teacher to return pursuant to the date determined under this section shall constitute grounds for termination unless the School District and the teacher mutually agree to an extension in the leave. Subd.8. Application for return must be made at least two (2) weeks prior to the anticipated return date and be accompanied by a physician’s statement attesting to the good health of the teacher if the child care leave was for maternity.

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

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