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Elizabeth M. Whitehorn, Director

Provider Notice issued 10/15/04

LTC Provider Handbook Update - Bed Reserve

To:​

Providers of Nursing Facility Services (ICF/SNF)​
Date:​ October 15, 2004​
Re:​ LTC Provider Handbook Update - Bed Reserve​

 

Effective August 1, 2004, the Department will begin reimbursing facilities, under the criteria listed below, to hold a bed while a resident is temporarily out of the facility for a hospitalization. This applies to bed reserves that began on August 1, 2004 or later.

The Department will now reimburse for up to 10 days per hospitalization while an individual is out of the facility if the facility has an occupancy level of at least 93% and at least 90% of the occupied beds are filled with Medicaid-eligible residents. The maximum reimbursable days for a therapeutic home visit will continue as seven consecutive or ten non-consecutive days per billing month, but the same two occupancy level calculations will also apply. Facilities holding a bed are reminded of the requirement to complete a Form DPA 2234, Bed Reserve/Temporary Absence Form, using the appropriate code listed in the attached handbook pages.

Bed reserves already submitted for time periods beginning August 1, 2004, or later must be resubmitted with the appropriate code by the facility if the occupancy requirements are met in order for payment to be made.

If you have any questions, contact the Bureau of Long Term Care at (217) 557-0602.

HANDBOOK REVISIONS

Remove pages 41/42, 43/44, 84/85, 86, 253/254, 255/256, 257/258, 259/260, and 260(a) and replace with the attached pages.

Attachment