NF services definition
Examples of NF services in a sentence
During the 180-day benefit period, reimbursement for NF services provided by a Nursing Facility Provider can only be made through the MCO and not through the Medical Assistance fee-for-service claims system.
The CHC-MCO must abide by the clinical eligibility determination entity’s decision as to the need for NF services.
During the 100-day benefit period, reimbursement for NF services provided by a Nursing Facility Subcontractor can only be made through the MCO and not through the Medical Assistance fee-for-service claims system.
The CHC-MCO in which the Participant is enrolled must enter into an agreement or payment arrangement with the Participant’s NF to make payments for the Participant’s NF services during the continuity of care period, regardless of whether the NF is in the CHC-MCO Network.
Supports (ECS) means state-funded services in the community pursuant to Minnesota Statutes, § 256B.0922, for persons not eligible for long-term care waiver services or Nursing Facility services for persons determined ineligible for EW or NF services during 2015 as a result of changes to Nursing Facility Level of Care.
The MCOP is prohibited from paying for NF services and LTSS during an RMCP.
A Ventilator Authorization allows exceptional payments under specific terms to a NF, in addition to the NF’s per diem rate, for NF services that are provided for the use of certain ventilator supplies.
The CHC-MCO is responsible for payment for Medically Necessary NF services, including bed hold days up to fifteen (15) days per hospitalization if the NF satisfies the occupancy percentage requirements and up to thirty (30) Therapeutic Leave Days per year if a Participant is admitted to a NF or resides in a NF at the time of Enrollment.
For NF services covered under the traditional Medicaid benefit, the contract offered by the Contractor to the NFs and SLF must provide for payment that equates to at least the Medicaid payment level in Illinois FFS Medicaid.
During the 180-day Benefit Period, reimbursement for NF services provided by a Nursing Facility subcontractor can only be made through the MCO and not through the Medical Assistance fee-for-service claims system.