Private Pay Resident definition

Private Pay Resident means a resident who does not receive public assistance under ORS Chapters 411, or 414.

Private Pay Resident means a nursing facility resident on whose behalf the facility is not receiving medical assistance payments and whose payment rate is not established by any governmental entity with rate setting authority including Veteran's Administration or Medicare, or whose payment is not negotiated by any managed care organization contracting with a facility to provide services to the resident.

Private Pay Resident means a resident of a Facility who (a) is not a Part A Resident or a Covered Resident, and (b) has authorized a Pharmacy Operator to be the resident’s pharmacy provider.

Examples of Private Pay Resident in a sentence

• However, a Medicare Resident may elect to retain his/her bed in the Facility by following the Private Pay Resident Bed Reservation policy above.

• For Products and Services that a Pharmacy Operator provides to a Private Pay Resident (i) PharMerica shall directly xxxx and receive payment from the Private Pay Resident (or the legally responsible representative of the Private Pay Resident), and (ii) no Ceres Party, including without limitation, the applicable Facility Operator, nor any Affiliate thereof, shall have any financial responsibility for such Products and Services except as specifically provided in Section 9(e) below.

• Explanation of pay status: a Resident of the Facility may be either a Villa Marin Resident or a Private Pay Resident.

• The Resident, Responsible Party, and any other person signing this Contract on behalf of the Private Pay Resident shall be given thirty (30) days advanced written notice of any changes in the rates for Basic Services and/or Supplemental Services during the term of the Contract.

• When an AG Recipient Becomes a Private Pay Resident If the resident becomes ineligible for an AG based on income or countable resources, the eligibility worker will issue a notice of adverse action to the recipient eleven days in advance of the action to terminate the AG.

• If Resident is admitted to the Facility as a Private Pay Resident and subsequently converts to a Medicaid or Medicare Resident, the Facility shall refund any unearned advance Basic Daily Rate private payment, if any, in excess of the Resident’s liability.

• In addition to the Basic Daily Rate, a Private Pay Resident shall be responsible for payment of all Facility Charges for supplies and services which are not included in the Facility’s Basic Daily Rate.

• Charges for additional and ancillary services for a Private Pay Resident may differ from individuals with additional sources of payment, such as private insurance and third party government payors, including Medicare and Medicaid.

• The Facility shall also refund any unearned advance payment in the event that a Private Pay Resident leave the Facility within thirty (30) days.

• The daily rate for a Private Pay Resident is determined in part by the type of room assigned to the Private Pay Resident and, therefore, may be changed if the Private Pay Resident is transferred to a different room.

More Definitions of Private Pay Resident

Private Pay Resident means a Resident who has authorized Provider to be their provider of pharmaceutical services and who is not eligible for coverage under a third- party program accepted by Provider.

Private Pay Resident means a Resident who is not a Villa Marin Resident, or who is a Villa Marin Resident who has executed a Medical Contract that specifically limits care in the Facility or requires the Villa Marin Resident to pay all or part of the costs of the care for which Resident was admitted or that he or she is receiving.

Private Pay Resident means an individual on whose behalf the facility is not receiving medical assistance payments.

Private Pay Resident means a resident on whose behalf the facility is not receiving any aid to vulnerable aged, blind, and disabled persons program payments and whose payment rate is not established by any governmental entity with ratesetting authority.

Private Pay Resident means a nursing facility resident on whose behalf the facility is not receiving medical assistance payments and whose payment rate is not established by any governmental entity with rate setting authority including Veteran's Administration or Medicare.

Private Pay Resident means a resident who does not receive public assistance under ORS Chapter 411, 412, 413 or 414.