La. Admin. Code tit. 50 § II-509

Current through Register Vol. 50, No. 11, November 20, 2024

Section II-509 - Changes in Level of Care and Status

A. The nursing facility shall notify the parish Medicaid office via the BHSF Form 148 of the following changes in a residents circumstances:

1. change in the level of care;

2. transfer to another nursing facility;

3. change in payer source;

4. hospital/home leave and returns; or

5. discharge home, death or any other breaks in facility care.

B. The nursing facility must inform the appropriate level II authority if an individual with a diagnosis of MI and/or ID is subject to readmission or interfacility transfer and there has been a substantial change in the individuals condition, or if a level I screen was not completed or was completed incorrectly.

1. An individual is considered to be a readmission if he/she was readmitted to a facility from a hospital to which he/she was transferred for the purpose of receiving care.

2. Interfacility transfer occurs when an individual is transferred from one NF to another NF, with or without an intervening hospital stay.

La. Admin. Code tit. 50, § II-509

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing and Office of Aging and Adult Services, LR 36:1012 (May 2010), Amended by the Department of Health, Bureau of Health Services Financing and the Office of Aging and Adult Services, LR 431179 (6/1/2017).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.