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22 Cards in this Set
- Front
- Back
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How does state handle Medicaid facility wishing to participate in Medicare |
Does not necessarily need to conduct new survey Submit last Medicaid survey and initial cert requirements to RO RO will determine if new survey is necessary |
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SNF |
Provides skilled nursing Rehab facility vs treatment of MD/MI Transfer agreements with Hospitals Meets requirements under he act Focus is restorative care |
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NF |
Focused on skilled nursing and rehab care above the level of room and board Not primarily for care and treatment of MD Transfer agreement with hospitals Meets requirements of the act |
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Types of facilities that may be a SNF Or NF |
Entire facility for SNF or NF Distinct part of a rehabilitation center A distinct part of a hospital such as a wing or section A distinct part of SNF or NF A religious nonmedical health care institution operated or listed and certified by the first church of Christ, scientist, Boston, massachusetts |
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Is SNF able to provide Part B outpatient |
Yes. Either directly or under arrangement |
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Waiver for 7-Day RN requirement for SNF |
Located in a rural area and supply of SNF is not enough to meet the needs 1 FT RN regularly on duty 40 hours a week (same or part time employee and can also be DON) Only has residents who a physician has determined do not need the care of a RN or Physician for a 48 hr period Clinical Care of residents who need skilled services when RN is not in duty |
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Who grants waiver for SNF 7 day RN requirement |
RO acting on behalf of the Secretary |
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If waiver (7 day) granted who must be notified by whom |
RO on behalf of Secretary Notice to state LTC ombudsman And to state protection agency for MI Facility - notice to residents and resident reps Subject to annual review |
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Requirement for nursing services for SNF |
24 licensed nursing services RN for 8 consecutive hours 7 days a week (more than 40’hrs) RN designated as DON on a FT basis |
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Nursing staff requirements for NF |
24 hour licensed nursing care RN for 8 consecutive hours on 7 days FT DON |
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State may waive Nursing Services for NFs if |
Facility made efforts to recruit and can’t State determines it will not endanger health and safety of residents RN or physician will respond immediately to phone calls |
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NF nursing services waivers are granted by whom and whom need to be notified |
State grants waiver and provide notice to LTC Ombudsman and state protection agency for MI/ID Facility to notify residents and res reps |
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For NF what requirements can be waived? |
24 hr RN services RN 8 hours 7 days a week |
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Nursing services requirements for SNF what can be waived? |
Only RN 8 hours 7 days a week |
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For dually participating facilities which waiver requirements do they follow? |
SNF waiver requirements |
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For initial nursing waiver requests for a NF what must occur |
Onsite survey ( not a full survey) Just to determine that a waiver will not endanger health and safety if residents |
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Does Initial request for Waiver of nursing for SNF require a onsite survey |
No. Waiver may be made based on documentation submitted by SNF |
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Resident room requirements (not for new facilities) |
No more than 4 beds per room (new can only have 2 beds per room) Minimum of 80’ per resident in multi occupant room Minimum of 100’ for single occupant room |
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May receive a Variance (waiver) if you show? |
Demonstrates in writing that the variations are in accordance with the special needs of resident and will not adversely affect their health and safety. RO has authority to grant State has jurisdiction to approve them in Medicaid only |
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How does the state indicate waiver or variance on the statement of deficiencies and PoC (2567)? |
Asterisk to left of the data tag |
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How does state reflect waivers/variances in ASPEN |
W |
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End |
End |
