Common use of Nursing Facility Services Clause in Contracts

Nursing Facility Services. For Medicaid covered nursing facility stays, the MCP must evaluate the member’s need for the level of services provided by a nursing facility. To make this decision, the MCP must use the criteria for nursing facility-based level of care pursuant to OAC rules 5160- 3-08 and 5160-1-01. The MCP must maintain a written record that the criteria were met, or if not met, the MCP must maintain documentation that a Notice of Action was issued in accordance with OAC 5160-26-08.4.

Nursing Facility Services. For Medicaid covered nursing facility stays, the MCP must shall evaluate the member’s need for the level of services provided by a nursing facility. To make this decision, the MCP must shall use the criteria for nursing facility-based level of care pursuant to OAC rules 5160- 5160-3- 08, 5160-3-08 09 and 5160-1-01. The MCP must shall provide documentation of the member’s level of care determination to the nursing facility. The MCP shall maintain a written record that the criteria were met, or if not met, the MCP must shall maintain documentation that a Notice of Action was issued in accordance with OAC 5160-26-08.4.

Nursing Facility Services. For Medicaid covered nursing facility stays, the MCP must shall evaluate the member’s need for the level of services provided by a nursing facility. To make this decision, the MCP must shall use the criteria for nursing facility-based level of care pursuant to OAC rules 5160- 5160-3-08 and 08, 5160-13-01. The MCP must maintain a written record that the criteria were met, or if not met, the MCP must maintain documentation that a Notice of Action was issued in accordance with OAC 5160-26-08.4.09

Nursing Facility Services. For Medicaid covered nursing facility stays, the MCP must shall evaluate the member’s need for the level of services provided by a nursing facility. To make this decision, the MCP must shall use the criteria for nursing facility-based level of care pursuant to OAC rules 5160- 5160-3-08 08, 5160-3-09 and 5160-1-01. The MCP must shall provide documentation of the member’s level of care determination to the nursing facility. The MCP shall maintain a written record that the criteria were met, or if not met, the MCP must shall maintain documentation that a Notice of Action was issued in accordance with OAC rule 5160-26-08.4.

Nursing Facility Services. For Medicaid covered nursing facility stays, the MCP must evaluate the member’s need for the level of services provided by a nursing facility. To make this decision, the MCP must use the criteria for nursing facility-based intermediate or skilled level of care pursuant to OAC rules 5160- 5160-3- 08, 5160-3-08 09 and 5160-1-01. The MCP must provide documentation of the member’s level of care determination to the nursing facility. The MCP must maintain a written record that the criteria were met, or if not met, the MCP must maintain documentation that a Notice of Action was issued in accordance with OAC 5160-26-08.4.

Nursing Facility Services. For Medicaid covered nursing facility stays, the MCP must evaluate the member’s need for the level of services provided by a nursing facility. To make this decision, the MCP must use the criteria for nursing facility-based level of care pursuant to OAC rules 5160- 5160-3- 08, 5160-3-08 09 and 5160-1-01. The MCP must provide documentation of the member’s level of care determination to the nursing facility. The MCP must maintain a written record that the criteria were met, or if not met, the MCP must maintain documentation that a Notice of Action was issued in accordance with OAC 5160-26-08.4.