Nursing facility services definition

Nursing facility services means the level of care provided in a medical institution licensed for nursing services or skilled nursing services for the purposes of rule 441—75.23(249A).

Nursing facility services means nursing facility services covered by the Medicaid program that a nursing facility provides to a resident of the nursing facility who is a Medicaid recipient eligible for Medicaid-covered nursing facility services.

Nursing facility services means nursing care and health related services provided in a nursing facility; a level of care provided in a hospital which is equivalent to the care which is provided in a nursing facility; and care, services or supplies provided pursuant to a waiver under subsection

Examples of Nursing facility services in a sentence

• Nursing facility services covered by another liable party (including Medicare) while the member is enrolled with the Contractor, shall be applied to the 90 day per contract year limitation.

• The transfer of resources penalty is ineligibility for: - Nursing facility services, and - A level of care in any institution, equivalent to that of nursing facility services, and - Home and Community Based Waiver services.

• Nursing facility services are not a benefit for an ABP eligible recipient except as a short term “step-down” hospital discharge prior to going home.

• The transfer of resources penalty is ineligibility for: - Nursing facility services; and - A level of care in any institution, equivalent to that of nursing facility services.

• Nursing facility services covered by another liable party (including Medicare) while the member is enrolled with the Contractor, shall be applied to the 90 day per contract year limitation.The Contractor shall not deny nursing facility services when the member’s eligibility, including prior period coverage, had not been posted at the time of admission.

More Definitions of Nursing facility services

Nursing facility services means services provided to individuals who do not require hospital care, but who, because of their mental or physical condition, require skilled nursing care and related services, rehabilitation services, or, on a regular basis, health-related care and services (above the level of room and board) which can be made available to them only through institutional facilities under the supervision of licensed health care professionals.

Nursing facility services means services provided by a licensed skilled-care

Nursing facility services means those services that are nursing facility services for

Nursing facility services means as defined in § 6501 of Title 30.

Nursing facility services means collectively Nursing Facility Room and Board Services and Other Nursing Facility Services.

Nursing facility services. The STAR+PLUS MCO must ensure Members have access to Nursing Facility services effective March 1, 2015. Nursing facilities that are licensed, certified, and have a valid DADS contract on September 1, 2013, will be included on the STP list. PCPs associated with Nursing Facilities must have admitting privileges to Network Hospitals. If any willing Nursing Facility Provider is not on the STP list but will agree to the MCO’s contract rates and terms, the MCO must also enter into a Network Provider Agreement with that provider if the Nursing Facility is licensed, certified, and has a valid DADS contract. Any willing Nursing Facility Provider includes Nursing Facility STPs who have gone through a change in ownership after September 1, 2013, and new Nursing Facility providers. Hospice Services: Effective March 1, 2015, Nursing Facility residents in STAR+PLUS MCOs must have access to Hospice Services as Non-capitated Services. Ambulance providers: The MCO must enter into a Network Provider Agreement with any willing ambulance provider that meets the MCO's credentialing requirements and agrees to the MCO's contract rates and terms.

Nursing facility services means nursing facility services 173