Common use of Medicaid Residents Clause in Contracts

Medicaid Residents. [FACILITY: If you participate in Medicaid, use all paragraphs with one star (*). If you do not participate in Medicaid, use the paragraphs with two stars(**). *We participate in the Medicaid Program. For information on Medicaid, see Exhibit 3A. [The Exhibit is written in terms of the Resident.] The Resident is not required to give up any of the Resident's rights to Medicaid benefits to be admitted or to stay here. If the Resident's private funds are used up during the Resident's stay here and the Resident is eligible for Medicaid, we will accept Medicaid payments. *Although it is the Resident's and your responsibility to apply for and obtain Medicaid benefits for the Resident, we will assist you, by promptly providing Medical Assistance with all required information in our possession. If the Resident is eligible for Medical Assistance, the Facility may not charge, ask for, accept or receive any gift, money, donation or consideration other than Medicaid reimbursement as a condition of the Resident's admission or continued stay here. *If the Resident receives Medicaid, most of the Resident's nursing home charges such as room, board and general nursing care are covered, although Medicaid may require you to pay some amount from the Resident's monthly income. The local Department of Social Services will tell you whether you have to pay part of the charge for the Resident's care and, if so, how much. You understand and agree to pay to the Facility on a timely basis this contribution amount as determined and periodically adjusted by the local Department of Social Services. If you fail to pay this amount, we may request a court to order such payment.

Medicaid Residents. [FACILITY: If you participate in Medicaid, use all paragraphs with one star (*). If you do not participate in Medicaid, use the paragraphs with two stars(**). *We participate in the Medicaid Program. For information on Medicaid, see Exhibit 3A. [The Exhibit is written in terms of the Resident.] The Resident is not required to give up any of the Resident's rights to Medicaid benefits to be admitted or to stay here. If the Resident's private funds are used up during the Resident's stay here and the Resident is eligible for Medicaid, we will accept Medicaid payments. *Although it is the Resident's and your responsibility to apply for and obtain Medicaid benefits for the Resident, we will assist you, by promptly providing Medical Assistance with all required information in our possession. If the Resident is eligible for Medical Assistance, the Facility may not charge, ask for, accept or receive any gift, money, donation or consideration other than Medicaid reimbursement as a condition of the Resident's admission or continued stay here. *If the Resident receives Medicaid, most of the Resident's nursing home charges such as room, board and general nursing care are covered, although Medicaid may require you to pay some amount from the Resident's monthly income. The local Department of Social Services will tell you whether you have to pay part of the charge for the Resident's care and, if so, how much. You understand and agree to pay to the Facility on a timely basis this contribution amount as determined and periodically adjusted by the local Department of Social Services. If you fail to pay this amount, we may request a court to order such payment. *A list of the items and services covered by Medicaid (which are published at COMAR 10.09.10.04) is posted in the Facility at the following location: . If you or the Resident would like your own copy, the Facility will provide one. *Some of the items and services that we offer are not covered by Medicaid. If you or the Resident want any items or services which are not covered by Medicaid to be provided to the Resident, you will have to pay for them. A list of the items and services not covered by Medicaid and the charges for them are at Exhibit 4. Payment for items and services that are not covered by Medicaid is due after the Resident, or the Resident's physician with your, or the Resident's approval, have requested them and the Resident has received them and you have been billed for them. Within ninety (90) days of the Resident receiving an item or service, or within thirty (30) days of payment, you or the Resident have the right to ask us for an itemized statement that briefly but clearly describes each item or service, the amount charged for it, and the identity of the payor billed for the service. *You understand that non-payment of items and services not covered by Medicaid may result in a discharge action for non-payment of bills. If all of the Resident's personal needs have been met, you understand that money in the Resident's personal funds account may be needed to pay for items and services not covered by Medicaid which were requested by you or the Resident (or the Resident's physician with the Resident's, or your approval) and are provided by the Facility. **We do not participate in the Medicaid Program. If, after the Resident is admitted here, the Resident no longer has sufficient funds to remain, we will assist you in finding and transferring the Resident to a facility that participates in the Medicaid Program. If there is any dispute about the Resident's transfer or discharge, the notice and other requirements described in Section 4.F. will apply.

Medicaid Residents. [FACILITY: If you participate in Medicaid, use all paragraphs with one star (*). If you do not participate in Medicaid, use the paragraphs with two stars(**). *We participate in the Medicaid Program. For information on Medicaid, see Exhibit 3A. [The Exhibit is written in terms of the Resident.] The Resident is not required to give up any of the Resident's rights to Medicaid benefits to be admitted or to stay here. If the Resident's private funds are used up during the Resident's stay here and the Resident is eligible for Medicaid, we will accept Medicaid payments. *Although it is the Resident's and your responsibility to apply for applyfor and obtain Medicaid benefits for the Resident, we will assist you, by promptly providing Medical Assistance with all required information in our possession. If the Resident is eligible for Medical Assistance, the Facility may not charge, ask for, accept or receive any gift, money, donation or consideration other than Medicaid reimbursement as a condition of the Resident's admission or continued stay here. *If the Resident receives Medicaid, most of the Resident's nursing home charges such as room, board and general nursing care are covered, although Medicaid may require mayrequire you to pay some paysome amount from the Resident's monthly income. The local Department of Social Services will tell you whether you have to pay part of the charge for the Resident's care and, if so, how much. You understand and agree to pay to the Facility on a timely basis this contribution amount as determined and periodically adjusted by the local Department of Social Services. If you fail to pay this amount, we may request a court to order such payment. *A list of the items and services covered by Medicaid (which are published at COMAR 10.09.10.04) is posted in the Facility at the following location: . If you or the Resident would like your own copy, the Facility will provide one. *Some of the items and services that we offer are not covered by Medicaid. If you or the Resident want any items or services which are not covered by Medicaid to be provided to the Resident, youwill have to pay for them. A list of the items and services not covered by Medicaid and the charges for them are at Exhibit 4. Payment for items and services that are not covered by Medicaid is due after the Resident, or the Resident's physician with your, or the Resident's approval, have requested them and the Resident has received them and you have been billed for them. Within ninety (90) days of the Resident receiving an item or service, or within thirty (30) days of payment, you or the Resident have the right to ask us for an itemized statement that briefly but clearly describes each item or service, the amount charged for it, and the identity of the payor billed for the service. *You understand that non-payment of items and services not covered by Medicaid mayresult in a discharge action for non-payment of bills. If all of the Resident's personal needs have been met, you understand that money in the Resident's personal funds account may be needed to pay for items and services not covered by Medicaid whichwere requested by you or the Resident (or the Resident's physician with the Resident's, or your approval) and are provided by the Facility. **We do not participate in the Medicaid Program. If, after the Resident is admitted here, the Resident no longer has sufficient funds to remain, we will assist you in finding and transferring the Resident to a facility that participates in the Medicaid Program. If there is any dispute about the Resident's transfer or discharge, the notice and other requirements described in Section 4.F. will apply.