Obligations of Resident. The Resident agrees:
Obligations of Resident. Resident agrees to respect and maintain the confidentiality of all health information relative to all KMC patients, including, without limitation, all health information regarding a patient’s medical treatment and condition, psychiatric and mental health, and substance abuse and chemical dependency, which Resident may receive pursuant to this Agreement. Resident agrees to comply with the terms and conditions of the following: (a) California Civil Code section 56 et seq. (general patient medical records); (b) California Welfare and Institutions Code sections 5328.6 and 5328.7 (mental health records); (c) 42 USC section 290dd-2 and 42 CFR part 2, section 2.31 (alcohol and drug abuse records); and (d) Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) (42 USC sections 1320d-2 and 1320d-4), as amended by Health Information Technology for Economic and Clinical Health Act of 2009 (the “HITECH” Act), and the implementing regulations (45 CFR subtitle A, subchapter C, parts 160 through 164, inclusive), as amended from time to time.
Obligations of Resident. Resident shall be obligated as follows:
Obligations of Resident. Resident is obligated under this Lease, as follows:
Obligations of Resident. In the event Resident is no longer receiving Medicare covered services and/or Resident’s Medicare ineligibility has been exhausted, unless the Resident is Medicaid Eligible, the cost of Resident’s payment obligations under this Agreement will be borne by Resident. The submission of a claim to Medicare or a request for a reconsideration of a claim to Medicare DOES NOT RELIEVE Resident from Resident’s payment obligations under this Agreement if the fiscal intermediary determines that all or a portion of Resident’s cost of care is not covered by Medicare. If Resident loses eligibility for any reason, Resident is obligated to pay the Basic Daily Rate.
Obligations of Resident. Facility will accept payment from the MCO as payment in full only for those services and supplies covered by the MCO. Resident is responsible for any co-payment or other costs assigned to Resident under the specific terms of the managed care plan. Resident shall also pay for any services or supplies not covered by the MCO under the specific terms of the managed care plan. Managed care plans typically require pre-authorization of services by the MCO. If Resident chooses to have services the MCO refuses to pre-authorize, Resident shall pay Facility for those services. Resident shall pay facility in a timely manner for all non-covered services retroactive to the date of the initial delivery of services.
Obligations of Resident. Resident is obligated to make full and complete disclosure regarding all financial resources and income during the application process. Failure to identify all resources and income, or the submission of false information, may result in the termination of this Agreement. Resident is obligated to notify the Facility when Resident’s resources available to satisfy Resident’s financial obligations under this Agreement have been reduced to Forty-Five Thousand Dollars ($45,000). Resident is obligated to apply for Medicaid benefits at such time as Resident’s resources will no longer be sufficient to pay all Facility charges for Resident’s care and stay or when directed to do so by the Facility. In the event Resident applies for Medicaid benefits, Resident shall continue to pay and apply all of Resident’s available resources toward the fulfillment of Resident’s financial obligations under this Agreement while the Medicaid application is pending an eligibility determination by DHS.
Obligations of Resident. The Facility will accept payment from the MCO as payment in full only for those services and supplies covered by the MCO. Resident is responsible for any co- payments, deductibles or other charges assigned to Resident under the specific terms of the managed care plan. Resident also shall pay for any services or supplies not covered by the MCO under the specific terms of the managed care plan. Co-payments and other costs assigned to Resident and charges for services or supplies not covered by the specific terms of the managed care plan are identified in the Rate Schedule. Resident is also responsible for and shall pay any co- insurance or deductible amounts under Medicare Part C insurance. Managed care plans typically require pre-authorization of services by the MCO. If Resident chooses to have services which the MCO refuses to pre-authorize, Resident shall pay the Facility for those services. Resident shall pay the Facility in a timely manner for all non-covered services retroactive to the date of the initial delivery of services.
Obligations of Resident. Resident agrees:
Obligations of Resident. A. The Resident shall be obligated as follows: (1) No Resident of the Presque Isle Housing Authority or any of its developments, nor any member of such Resident’s household shall engage in conduct which: a) causes or is likely to cause damage or destruction to the premises occupied by the Resident, or the other property of the Presque Isle Housing Authority within the development in which said premises are located, or to the properties of others within the neighborhood in which such development is located; b) is damaging, disruptive or disturbing to the other Residents of the Presque Isle Housing Authority within such development or to other persons residing in the neighborhood of such development, so as to materially diminish the enjoyment by such other residents or other persons of their respective premises, or c) shall constitute a nuisance; (2) Resident agrees to refrain from consuming, storing, selling or possessing illegal substances within or upon the property of the Authority and a finding of any such illegal substances within the Resident’s assigned rental unit may be grounds for eviction by the Authority. Resident expressly acknowledges that confiscation of any illegal drug or substance from the premises by law enforcement authorities shall constitute a material breach of this Lease and be cause for immediate termination of this Lease by Management; (3) Not to provide accommodations for boarders or lodgers; (4) To keep the premises and equipment furnished by the Authority for the Resident’s exclusive use in a clean and sanitary condition, to maintain the yard in front and rear (and side, if applicable) of the premises neat and orderly (such maintenance to include but not be limited to mowing, trimming, weeding and removing snow / ice from walks and steps / decks) and to otherwise assist in the maintenance of the premises. Residents who are determined by the Authority to be unable to perform such tasks because of age or disability may be exempt from this requirement by reasonable accommodation. If the Resident fails to maintain the yard as required above, the Authority may maintain the yard with its own employees and charge the Resident in accordance with the Schedule of Charges;
