Thursday, November 21, 2013

CMA reminds us that nursing home residents can go home for the holidays

Via the Center for Medicare Advocacy:

Superior snowLate November is often a time for gatherings with family and friends – Thanksgiving and Hanukkah, soon followed by Christmas and the New Year.   Nursing home residents often want to participate in these gatherings but may worry that they will lose Medicare coverage if they leave the facility to do so. Residents and their families can put their minds at ease.   According to Medicare law, nursing home residents may leave the facility for holidays without losing their Medicare coverage. However, depending on the length of their absence, beneficiaries may be charged a "bed hold" fee.


The Medicare Benefit Policy Manual recognizes that although most beneficiaries are unable to leave their facility, "an outside pass or short leave of absence for the purpose of attending a special religious service, holiday meal, family occasion, going on a car ride, or for a trial visit home, is not, by itself evidence that the individual no longer needs to be in a SNF for the receipt of required skilled care."


A facility should NOT notify patients that leaving the facility will lead to loss of Medicare coverage. The Medicare Benefit Policy Manual says that such a notice is "not appropriate."

Read more about this policy at CMA's website.

http://lawprofessors.typepad.com/elder_law/2013/11/cma-reminds-us-that-nursing-home-residents-can-go-home-for-the-holidays.html

Federal Statutes/Regulations, Health Care/Long Term Care, Housing | Permalink

TrackBack URL for this entry:

http://www.typepad.com/services/trackback/6a00d8341bfae553ef019b0176c4ba970d

Listed below are links to weblogs that reference CMA reminds us that nursing home residents can go home for the holidays: