TITLE 40
Human services

CHAPTER 40-8.13
Long-Term Managed Care Arrangements

SECTION 40-8.13-10


§ 40-8.13-10 Care transitions.

In the event that a beneficiary:

(1) Has been determined to meet level of care requirements for nursing facility coverage as of the date of his or her enrollment in a managed care organization; or

(2) Has been determined to meet level of care requirements for nursing facility coverage by a managed care organization after enrollment; and there is a change in condition whereby the managed care organization determines that the beneficiary no longer meets such level of care requirements, the nursing facility shall promptly arrange for an appropriate and safe discharge (with the assistance of the managed care organization if the facility requests it), and the managed care organization shall continue to pay for the beneficiary's nursing facility care at the same rate until the beneficiary is discharged.

History of Section.
(P.L. 2014, ch. 145, art. 18, § 6.)