亚博电竞官网官网中心一般的医疗补助/医疗保险福利

服务 & 每日医疗补助费率涵盖的项目

Many patients covered by Medicaid and Medicare have a lot of questions 关于他们的护理费用，以及哪些是报销的，哪些是不报销的. 的信息 below outlines many of the details about Medicare and Medicaid coverage 在奈绍巴总医院.

During the course of a covered Medicaid stay, the facility may not charge 病人需要以下项目和服务:

• 护理服务
• 专业康复服务
• 饮食服务
• 活动项目
• 客房/床的维修服务
• 日常个人卫生用品和服务
• 个人衣服
• 非处方药和传奇药物

以下项目包含在每日医疗补助费率中. 异常 医疗保险B部分或任何其他第三方涵盖的项目. 这些项目 可以不向居民、家庭或责任方收费吗.

这并不是一个包罗万象的清单:

• 胶带
• 酒精
• 涂抹器
• *手臂索具
• 邦迪牌创可贴
• 盆地
• 床上锅
• Rails的床
• 儿童围兜
• 血压仪.
• 拐杖
• 导管(任何尺寸)
• 导管(内在的)
• 厕椅
• 满足护理设施定义的成本
• 棉花球
• 棉签涂抹器
• *拐杖
• 牙线
• 假牙粘合剂
• 假牙清洁剂
• 除臭
• 饮食
• Disposable Diapers (when ordered by the resident's physician due to medical 必要性)
• *排水集
• 肠内 & 注射用药物的治疗
• 额外的床单
• 纱布海绵
• 手套(无菌 & un-sterile)
• 绿色的肥皂
• 头发 & 指甲卫生服务
• 加热垫
• 医院的礼服
• 冰包
• 尿失禁护理 & 供应
• 输液室板
• 无效的戒指
• *灌溉托盘
• 第四盘 & 输液导管
• 洗衣服务
• 传奇药物(不包括在医疗补助药物计划内)
• 医药用滴管
• 润滑果冻
• 医疗 & 手术用品(次要)
• 保湿乳液
• *鼻管喂养
• 针(各种尺寸)
• 护理服务
• 护理用品 & 酱
• 给氧，供氧 & 相关药物)
• 空中飞人设备
• 非处方药
• 病人礼服
• 泵(愿望 & 吸入)
• 剃须刀
• 普通的房间
• 恢复性护理
• 限制
• 卫生棉
• 半私人的房间
• 剃须膏
• 的羊皮
• 肥皂
• 社会服务
• 样品杯或样品瓶
• 注射器(各种尺寸)
• 温度计
• 组织
• 卫生纸
• 压舌板
• 牙刷 & 牙膏
• 毛巾
• 牵引装置
• 小便池(男或女)
• 垫垫(垫垫等)
• 设备的使用. & 设施
• 步行者
• 浴巾
• 水投手
• 轮椅

*这些项目 may not be included in allowable costs for Medicaid residents who are age 65 or over, as Medicaid automatically pays for Medicare Part B coverage, unless payment for these items is not available under Medicare Part B.

It is not permissible to collect any deposit for non-covered 服务 on 代表所有享受医疗补助的居民.

Prospective rates may be adjusted by Division of Medicaid (DOM) pursuant 联邦和/或州法律法规的变更. 所有计划更改 必须得到联邦拨款机构的批准吗. 基于允许和 reasonable costs, DOM establishes maximum per diem standard reimbursement 每项设施的收费. 每个工厂提供一份附件 4.19 of the State Plan, which is also known as The Long-Term Care Reimbursement Plan.

卫生用品 & 医疗服务，由每日医疗补助费率支付. A facility's hair hygiene policy, must include the provision of combs, brushes, shampoos, trims and simple haircuts 通过设施 at no charge 给居民. 头发卫生服务包括修剪和简单的理发 由设施工作人员提供，作为日常美容护理的一部分. 修剪和 simple haircuts include all haircuts that maintain or enhance each resident's 尊严和尊重，充分承认他或她的个性.

Included in allowable cost for Medicaid purpose are all hair hygiene 供应 以及不向居民收费的服务. 设施只收取以下费用 hair hygiene 供应 and 服务 requested in addition to or in place 通常由设施提供或提供的. 理发,永久 waves, hair coloring and relaxing performed by barbers and beauticians not employed by a facility may 被起诉 to a resident requesting these 服务. 但是，如果该设施的政策是使用持牌理发师 and/or beauticians for trims and simple haircuts, then residents may not 为这些服务收费. 必须将收费通知住客 for the 供应 and 服务 in advance and an authorization form must 由责任方和/或居民签署.

Each facility must maintain written hair hygiene policies that describe 每日费率包括哪些用品和服务.

医疗补助供应项目

Certain supply items may be billed to the Mississippi Medicaid program 护理机构的居民.

这些项目是:

• 造口术供应: A Medicaid-approved durable medical equipment supplier has a unique provider 这些项目的账单编号. 护理机构可以收取医疗保险部分的费用 居民使用的用品，属于B部分. A nursing facility may include the cost of these items for residents under the age of 65 who are not covered by Medicare Part B on the annual cost 报告. 必须保留适当的文件来支持这些费用.
• 氧气缸: Oxygen cylinders may be provided by durable medical equipment suppliers 由他们直接给财政代理开账单. 供氧成本可能 包括在工厂的成本报告中. 用品和设备(其他 than an oxygen cylinder and its contents), which are required for the 氧的管理，可能不会直接记入医疗补助. 这些 items, as well as oxygen concentrators, central oxygen systems, IPPB Machines, 等., are covered through the cost 报告 per diem rates established for 每个护理机构.

医疗补助覆盖私人房间

The overall average cost per day, determined from the cost 报告s, includes 包间的费用. 每天的平均成本是用来计算的 国家处方集(NF)报销率. 因此，a的代价 包间包含在亚博电竞报销费用中.

When a resident is in a private room due to medical necessity (prescribed and ordered by a physician), no extra charge will be made to the resident, 他/她的家庭，或者医疗补助计划. 根据42 CFR 447.15, the LTS Reimbursement Plan and Provider Agreement, the Medicaid reimbursement 将被视为全额付款的居民.

When a resident is in a private room by resident or family choice (not prescribed or ordered by a physician), a resident may 被起诉 the difference between the private room charge and the semi-private room charge if the provider informs the resident at the time of his/her admission of the 股份金额. 根据长期护理报销 Plan and Medicaid policy, facilities may not charge residents or their families for 服务 covered by the Medicaid reimbursement rate, which 不包括半私人房间住宿吗.

Non-Covered服务 & 指控

The facility must inform each Medicaid resident of the items and 服务 offered 通过设施 but not covered by Title XVIII or the facility's 每日医疗补助率. 此通知必须包括这两个项目 and 服务 and the corresponding amounts for which the resident may 被起诉. 资料必须以书面形式于日期或日期提交 the time of admission or upon the resident becoming eligible for Medicaid. Residents and/or their responsible parties must be notified in advance of changes in the provision of 服务 and/or charges for the 服务.

The facility may charge any amount greater than or equal to the Medicaid rate for non-Medicaid residents for the prevision of 服务 under the 与上述公告一致的州医疗补助计划.

While the facility may set their basic per diem charge for non-Medicaid representative explaining leave policies, this information must define the period of time during which the resident will be permitted to return 恢复居住. 如果住院医生的缺勤超过了医疗补助计划的规定 limit, the resident will be readmitted to the facility on the first availability of a semi-private bed if the resident still requires the 服务 provided 通过设施.