048-17 Wyo. Code R. § 17-4

Current through April 27, 2019

Section 17-4 - Notice to Residents

Notice of covered services. At the time of admission, the nursing facility shall provide the resident and the resident's representative with a written notice that contains the information specified in subsections (a) through (g). Such notice shall also be given at least once every year after admission, and within sixty (60) days after there is any change in the services available to residents, the charges for such services or the services included in the Medicaid reimbursement rate. The notice shall contain:

(a) An itemized statement of the services provided by the nursing facility as part of the nursing facility's Medicaid reimbursement rate;

(b) An itemized statement of the services provided by the nursing facility that are not covered by the nursing facility's Medicaid reimbursement rate or Medicare and that may be charged to the resident, including the charge for each such service;

(c) A statement that the client is not required to deposit personal funds in a resident trust account.

• (i) Personal funds account. For purposes of this Chapter, personal funds are all funds which belong to a resident, from whatever source, including the resident's personal care allowance.

• (ii) Resident trust account. For purposes of this Chapter, the resident trust account is an account maintained by a facility in which a facility resident's personal funds are deposited and held in trust by the facility for the use and benefit of the resident.

(d) A description of the resident's right to select one (1) of the following alternatives for the management of personal funds:

• (i) The resident may receive, retain and manage personal funds directly or through a legal guardian;

• (ii) The resident may apply to the Social Security Administration for the designation of a representative payee to receive and manage personal funds; or

• (iii) The resident may designate, in writing, another person to receive and manage personal funds.

(e) A statement that any charge for the nursing facility managing the resident's trust account is included in the Medicaid reimbursement rate;

(f) A statement that the resident is entitled to one (1) accounting per calendar month of the resident's trust account upon the written request of the resident, the resident's legal guardian, the resident's representative payee or such other person as has been designated to manage the resident's trust account;

(g) A statement that if the resident is or becomes incapable of managing personal funds and has not designated another person to do so, the nursing facility shall arrange for the management of the resident's personal funds pursuant to the provisions of this Chapter; and

(h) Notice of potential ineligibility for Medicaid or SSI. In addition to the notice described above, the nursing facility shall notify a client when the balance of the resident's trust account is within two hundred dollars ($200.00) of the amount determined under 42 U.S.C 1382(a)(3)(B). The notice shall be in writing and shall inform the client that if the amount in the account plus the client's other nonexempt resources reaches the amount determined under 42 U.S.C. 1382(a)(3)(B), the client may lose eligibility for Medicaid, SSI or both.

048-17 Wyo. Code R. § 17-4