Medicaid Information

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=160 BGCOLOR="#006699" TEXT="#080000" background="16d00a03.jpg"> <div> <I><B>V</B></I><FONT SIZE="6" COLOR="#000080" FACE="Verdana" ><I><B>oices</B></I></FONT><FONT SIZE="6" COLOR="#000080" FACE="TimesRoman" ><I><B> </B></I></FONT><FONT SIZE="5" COLOR="#000080" FACE="Verdana" ><I><B>for Quality Care (LTC), Inc.</B></I></FONT></div> <bR> <div> <B>P.O. Box 2251, Leonardtown, MD 20650</B></div> <div> <B>1-888-600-2375</B></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFCC66" TEXT="#080000" background="178cae83.jpg"> <div> <B> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="177" BORDERCOLORLIGHT="#000099" BORDERCOLORDARK="#000099" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 640 WIDTH="165"><div> <B>Website Navigation Panel</B></div> <div> Click on the text below to go to other pages in our website<FONT SIZE="2" COLOR="#000000" FACE="Arial" ><B>.</B></FONT></div> <div> <A HREF="index.htm" TARGET="_top" TITLE="Voices for Quality Care"><U><B>Home</B></U></A></div> <div> <A HREF="id45.htm" TARGET="_top" TITLE="About Voices"><U><B>About Voices</B></U></A></div> <div> <A HREF="id59.htm" TARGET="_top" TITLE="Culture Change"><U><B>Culture Change</B></U></A></div> <div> <A HREF="id72.htm" TARGET="_top" TITLE="Beth Bakers Book"><U><B>Beth Baker's Book</B></U></A></div> <div> <A HREF="id49.htm" TARGET="_top" TITLE="Nursing Home Staffing in Maryland"><U><B>Nursing Home Staffing in Maryland</B></U></A></div> <div> <A HREF="id48.htm" TARGET="_top" TITLE="Washington,DC Nursing Home Data"><U><B>Washington, DC Nursing Home Data</B></U></A></div> <div> <A HREF="id180.htm" TARGET="_top" TITLE="Star Ratings"><U><B>Nursing Home Star Ratings</B></U></A></div> <div> <A HREF="id56.htm" TARGET="_top" TITLE="Laws and Regulations"><U><B>Laws and Regulations</B></U></A></div> <div> <A HREF="id47.htm" TARGET="_top" TITLE="Related Websites"><U><B>Related Websites</B></U></A></div> <div> <A HREF="id43.htm" TARGET="_top" TITLE="Contact Us"><U><B>Contact Us</B></U></A></div> <div> <A HREF="id46.htm" TARGET="_top" TITLE="Membership Application"><U><B>Membership Application</B></U></A></div> <div> <A HREF="id53.htm" TARGET="_top" TITLE="Directions to Our Meetings"><U><B>Directions to Our Meetings</B></U></A></div> <div> <A HREF="id52.htm" TARGET="_top" TITLE="Voices ByLaws"><U><B>Voices ByLaws</B></U></A></div> <div> <A HREF="id54.htm" TARGET="_top" TITLE="Terms of Service"><U><B>Terms of Service</B></U></A></div> <div> <A HREF="id55.htm" TARGET="_top" TITLE="Privacy Policy"><U><B>Privacy Policy</B></U></A></div> <div> <A HREF="id176.htm" TARGET="_top" TITLE="Maryland Ombudsman Program"><U><B>MD Ombudman Program</B></U></A></div> <div> <A HREF="id178.htm" TARGET="_top" TITLE="Assisted Living Choices"><U><B>Assisted Living Choices</B></U></A></div> <div> <A HREF="id181.htm" TARGET="_top" TITLE="FamilyCouncil"><U><B>Family Councils</B></U></A></div> <div> <A HREF="id76.htm" TARGET="_top" TITLE="Donation"><U><B>Donate to Voices</B></U></A></div> </tD> </tR> </TABLE></B></div> <bR> </td> <td valign="top" height=320 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="638" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 36 WIDTH="299"><div> <B>The Regulation</B></div> </tD> <tD VALIGN=TOP WIDTH="320"><div> <B>What it means to you</B></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 1325 WIDTH="299"><div> <B>[Code of Federal Regulations]</B></div> <div> [Title 12, Volume 1]</div> <div> [Revised as of January 1, 2003]</div> <div> From the U.S. Government Printing Office via GPO Access</div> <div> [CITE: 42CFR483.10]</div> <div> [Page 504-509]</div> <div>               TITLE 42--PUBLIC HEALTH</div> <div> CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES--(Continued)</div> <div> PART 483--REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES--Table of Contents</div> <div> Subpart B--Requirements for Long Term Care Facilities</div> <div>  </div> <div> <B>Sec. 483.10  Resident rights</B>.</div> <bR> <div>     <B>(b) Notice of rights and services.</B> </div> <bR> <div>       <B> (5) The facility must--</B></div> <bR> <div>     (i) Inform each resident who is entitled to Medicaid benefits, in writing, at the time of admission to the nursing facility or, when the resident becomes eligible for Medicaid of--</div> <bR> <div>     (A) The items and services that are included in nursing facility services under the State plan and for which the resident may not be charged;</div> <bR> <bR> <div>     (B) Those other items and services that the facility offers and for which the resident may be charged, and the amount of charges for those services; and</div> <bR> <bR> <bR> <bR> <div>     (ii) Inform each resident when changes are made to the items and services specified in paragraphs (5)(i) (A) and (B) of this section.</div> <bR> <bR> <div>  <B>(7) The facility must furnish a written description of legal rights which includes-</B></div> <bR> <div>    (ii) A description of the requirements and procedures for establishing eligibility for Medicaid, including the right to request an </div> <div> assessment under section 1924(c) which determines the extent of a couple's non-exempt resources at the time of</div> <div> institutionalization and attributes to the community spouse an equitable share of resources which cannot be considered available for payment toward the cost of the </div> <div> institutionalized spouse's medical care in his or her process of spending down to Medicaid eligibility levels;</div> </tD> <tD VALIGN=TOP WIDTH="320"><bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <div> The nursing home is responsible for telling you about Medicaid.</div> <bR> <bR> <bR> <bR> <div> The nursing home must give you a list of the things that Medicaid will pay for.  The nursing home can't charge you or your family anything extra for these things.</div> <bR> <bR> <bR> <div> The nursing home must tell you the things that Medicaid will <B>not </B>pay for and how much these things would cost if you or a family member chooses to pay for them.</div> <bR> <bR> <bR> <div> The nursing home must tell you of any changes are made in the things Medicaid will pay for or changes in the cost of things Medicaid will <B>not</B> pay for.</div> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <div> The facility must tell you how to apply for Medicaid.  </div> <bR> <div> The husband or wife of a resident who becomes eligible for Medicaid is allowed to keep certain assets such as a home, car, and income.  The nursing home must inform the spouse of this provision and the right to an assessment to determine if they are eligible for it.</div> </tD> </tR> </TABLE></div> <bR> </td> </tr></table></body>