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Who pays for a nursing home bed when the
resident is in the hospital?
Nursing home residents who need to be treated in a
hospital usually want to be able to return to the same bed and room in the nursing home as
soon as they are discharged for the hospital. Many nursing homes will ask the
resident to pay for the nursing home bed during the hospitalization in order to keep that
bed available.
Will
Medicare or Medicaid pay the facility to reserve my bed when I am temporarily absent from
the facility?
Medicare will not make any payment to
the nursing facility to reserve a bed for a Medicare beneficiary.
Medicaid will make bed reservation
payments for up to 15 days if you are hospitalized. Medicaid will also pay for up to 21
days per year if you are temporarily absent for other reasons, such as short visits to
family or friends on holidays. Once these payments have been exhausted, you, your family
members, or others cannot be required to pay to continue to reserve your bed, but may do
so voluntarily at the Medicaid per diem rate to assure that you can return to your bed.
Can I still
return to the nursing home even if my bed is not reserved?
Even if no one paid to reserve your
bed, you are still entitled to return to your bed in the facility if a new resident
hasn’t taken that bed. Even if your former bed is no longer available, you will
be entitled to the first available bed at the facility.
What are the laws on bed reservation?
Definitions. Nursing home
responsibilities re reservation of beds. Reimbursement. Connecticut General Statutes § 19a-537.
Requirements for the reservation of beds
in nursing homes. Regulations of Connecticut. State Agencies § 17-134d-79.
Payments for reserving beds in
institutions. 42 Code of Federal Regulations §
447.40.
Notice of bed-hold policy and
readmission. 42 Code of Federal Regulations §
483.12 (b).
Special provisions applicable to
prepayment requirements. 42 Code of Federal Regulations §
489.22 (d).
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