216.535 Definitions for KRS 216.537 to 216.590 -- Disclosure requirements.
353 words·~2 min read·
/ky/chapter-216/216-535A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
(1)As used in KRS 216.537 to 216.590:
(a)"Long-term care facilities" means those health care facilities in the
Commonwealth which are defined by the Cabinet for Health and Family
Services to be family care homes, personal care homes, intermediate care
facilities, nursing facilities, nursing homes, intermediate care facilities for
individuals with intellectual disabilities, and assisted living communities as
defined in KRS 194A.700;
(b)"Cabinet" means the Cabinet for Health and Family Services;
(c)"Resident" means any person admitted to a long-term care facility as defined
by this section;
(d)"Licensee" in the case of a licensee who is an individual means the individual,
and in the case of a licensee who is a corporation, partnership, or association
means the corporation, partnership, or association;
(e)"Secretary" means the secretary of the Cabinet for Health and Family
Services;
(f)"Long-term care ombudsman" means the person responsible for the operation
of a long-term care ombudsman program which investigates and resolves
complaints made by or on behalf of residents of long-term care facilities; and
(g)"Willful interference" means an intentional, knowing, or purposeful act or
omission which hinders or impedes the lawful performance of the duties and
responsibilities of the ombudsman as set forth in this chapter.
(2)The following information shall be available upon request of the affected Medicaid
recipient or responsible party:
(a)Business names, business addresses, and business telephone numbers of
operators and administrators of the facility; and
(b)Business names, business addresses, and business telephone numbers of staff
physicians and the directors of nursing.
(3)The following information shall be provided to the nursing facility patient upon
admission:
(a)Admission and discharge policies of the facility;
(b)Payment policies relevant to patients for all payor types; and
(c)Information developed and distributed to the nursing facility by the
Department for Medicaid Services, including but not limited to:
1. Procedures for implementation of all peer review organizations' reviews
and appeals processes;
2. Eligibility criteria for the state's Medical Assistance Program, including
circumstances when eligibility may be denied; and
3. Names and telephone numbers for case managers and all state long term
care ombudsmen.