Code of Massachusetts Regulations
101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Title 101 CMR 206.00 - Standard Payments to Nursing Facilities
Section 206.07 - Payments for Individuals in a Disaster Struck Nursing Facility
Universal Citation: 101 MA Code of Regs 101.206
Current through Register 1531, September 27, 2024
(1) Payment to a Disaster Struck Nursing Facility for individuals that must be temporarily evacuated to another facility (Resident Accepting Nursing Facility) may continue for up to 30 days after the disaster event.
(2) Payment will be the same as if the individual was residing in the Disaster Struck Nursing Facility. No other payment will be made to either the Disaster Struck Nursing Facility or the Resident Accepting Nursing Facility for evacuated individuals. The Disaster Struck Nursing Facility must meet the following conditions in order to receive payment for evacuated individuals:
(a) The Disaster Struck Nursing Facility must
have a contract with the Resident Accepting Nursing Facility. The contract must
include:
1. terms of payment and mechanisms
to resolve any contract disputes;
2. protocols for sharing care and treatment
information between the two facilities; and
3. requirements that both facilities meet all
conditions of Medicaid participation, as determined by the MassHealth
agency.
(b) The Disaster
Struck Nursing Facility must notify the MassHealth agency of the disaster
event, maintain records of all evacuated individuals that include each
individual's name, date of evacuation, and Resident Accepting Nursing Facility,
and update the MassHealth agency on the status of any necessary
repairs.
(c) The Disaster Struck
Nursing Facility must determine within 15 days of the disaster event whether
evacuated individuals will be able to return to the facility within 30 days of
the disaster event. If the Disaster Struck Nursing Facility determines that it
is not able to reopen within 30 days, it must discharge all evacuated
individuals and work with them to choose admission to other facilities or
alternative placements. Nothing precludes an evacuated individual from asking
to be discharged and admitted to another facility or alternative placement.
Payment to the Disaster Struck Nursing Facility will cease when an individual
is discharged from the facility.
Disclaimer: These regulations may not be the most recent version. Massachusetts may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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