Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 1
Subtitle 07 - HOSPITALS
Chapter 10.07.14 - Assisted Living Programs
Section 10.07.14.25 - Resident Agreement - Financial Content
Universal Citation: MD Code Reg 10.07.14.25
Current through Register Vol. 51, No. 19, September 20, 2024
A. The resident agreement shall include financial provisions, which include at a minimum:
(1) Obligations of the licensee and the
resident, or the resident's agent, as to:
(a)
Handling the finances of the resident;
(b) The purchase or rental of essential or
desired equipment and supplies;
(c)
Arranging and contracting for services not covered by the resident
agreement;
(d) Ascertaining the
cost of and purchasing durable medical equipment; and
(e) Disposition of resident property upon
discharge or death of the resident; and
(2) Rate structure and payment provisions
covering:
(a) All rates to be charged to the
resident, including but not limited to:
(i)
Service packages;
(ii) Fee for
service rates; and
(iii) Any other
non-service-related charges;
(b) Notification of the rate structure
applicable for other levels of care provided by the assisted living program and
the criteria to be used for imposing additional charges for the provision of
additional services, if the resident's service and care needs change;
(c) Payment arrangements and fees, if known,
for third-party services not covered by the resident agreement, but arranged
for by either the resident, resident's agent, or the assisted living
program;
(d) Identification of the
persons responsible for payment of all fees and charges and a clear indication
of whether the person's responsibility is or is not limited to the extent of
the resident's funds;
(e) A
provision which provides at least 45 days notice of any rate increase, except
if necessitated by a change in the resident's medical condition;
(f) Fair and reasonable billing, payment, and
credit policies;
(g) The procedures
the assisted living program will follow in the event the resident or agent can
no longer pay for services provided for in the resident agreement or for
services or care needed by the resident; and
(h) Terms governing the refund of any prepaid
fees or charges, in the event of a resident's discharge from the assisted
living program or termination of the resident agreement.
B. When the resident's needs significantly change and the level of service provided needs to be increased or decreased, the resident agreement shall be amended by the parties to reflect the changes in services being provided and any applicable increase or decrease in charges.
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