Limitation on Charges in Nursing Home
Limitation on Charges for Nursing Home Services
Federal regulations place a limitation on charges to personal funds for residents receiving care in nursing homes.
The resident has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. A facility must protect and promote the rights of each resident, including each of the following rights:
(a) Exercise of rights.
(c) Protection of resident funds
(8) Limitation on charges to personal funds. The facility may not impose a charge against the personal funds of a resident for any item or service for which payment is made under Medicaid or Medicare (except for applicable deductible and coinsurance amounts). The facility may charge the resident for requested services that are more expensive than or in excess of covered services in accordance with §489.32 of this chapter. (This does not affect the prohibition on facility charges for items and services for which Medicaid has paid. See §447.15, which limits participation in the Medicaid program to providers who accept, as payment in full, Medicaid payment plus any deductible, coinsurance, or copayment required by the plan to be paid by the individual.)
For more information limitation of charges in an nursing home or to express concerns over violations of resident rights in nursing home, call Attorney Ken LaBore at 612-743-9048 or toll free at 1-888-452-6589.