D. Nursing facilities
may temporarily transfer or discharge residents to other in-state nursing
facilities or to an evacuation location identified in their MSDH approved
emergency operations plan during declared public health emergencies and must:
1. Determine by day fifteen (15) of the
evacuation whether or not residents will be able to return to the evacuating
facility within thirty (30) days from the date of the evacuation.
2. Notify all residents and/or their
responsible parties, receiving facilities, MSDH and the Division of Medicaid of
the determination of whether or not the residents will be able to return to the
evacuating facility within thirty (30) days. The evacuating facility must
confirm and document that all parties noted above have received their
determination and notice.
a Nursing
facilities transferring residents to an in-state nursing facility with an
anticipated return to the evacuating facility within thirty (30) days may bill
the Division of Medicaid for the services that were provided at the receiving
facility for a maximum of thirty (30) days and:
1 Must notify the resident and, if known, a
family member or legal guardian/representative of the transfer and the transfer
location.
2 Must code the Minimum
Data Set (MDS) as though the resident was never transferred as long as the
resident's return to the facility is within the thirty (30) day timeframe.
3 Must follow all inpatient
hospital and home/therapeutic leave policies regardless of whether the resident
is on home leave, at the evacuating facility, or the receiving facility.
4 Are responsible for payment to
the receiving facility for the services that the receiving facility provides to
the evacuated residents.
5 Cannot
include the evacuating residents in their census and must report actual costs
incurred by the evacuating facility for all residents in its care. The
receiving facility must report the actual census, including the evacuated
residents, and the actual costs incurred by the receiving facility. No offset
of the revenue received from the evacuating facility will be required.
6 Cannot include payments made or
transferred to the receiving facility for evacuated residents on the cost
report.
b Evacuating
nursing facilities must discharge residents within the thirty (30) day
timeframe who will not return to the facility within thirty (30) days and must:
1 Notify the resident and, if known, a family
member or legal guardian/representative of the discharge and the location to
where the resident is being evacuated.
2 Complete and submit the applicable
communication form, including the discharge date, to the appropriate Division
of Medicaid Regional Office.
3
Complete and submit a discharge MDS assessment, a discharge summary including
the discharge date, along with the following medical information, including,
but not limited to:
(a) Current physician
orders,
(b) Most recent history
and physical,
(c) Current
medication administration record,
(d) Nutritional assessment, and
(e) Advanced directives, and
4 Comply with all admission
requirements for any subsequent readmissions after the thirty (30) day
timeframe.
c The
nursing facility receiving evacuated residents who will not return to the
evacuated facility within thirty (30) days must admit the evacuated nursing
facility residents within the thirty (30) day timeframe and:
1 Must comply with all nursing facility
admission requirements.
2 Complete
and submit the applicable communication form, including the admission date, to
the appropriate Division of Medicaid Regional Office.
3 Is not required to complete a new
preadmission form for the admission of evacuated residents during the disaster
period.
