*** The Health Care Programs Manual (HCPM) has been replaced by the Minnesota Health Care Programs Eligibility Policy Manual (EPM) as of June 1, 2016. Please refer to the EPM for current health care program policy information. ***
Effective: April 1, 2009 |
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14.10 - Long-Term Care Facilities (LTCFs) |
Archived: June 1, 2016 (Previous Versions) |
Long-term care facilities include medical hospitals, nursing facilities, and Intermediate Care Facilities for Persons with Developmental Disabilities (ICF/DDs).
See MA Payment of Long-Term Care (LTC) Services for information about how eligibility for Minnesota Health Care Programs is determined for LTCF residents.
MMIS/RLVA Living Arrangement Codes for Long-Term Care Facilities.
MMIS/RLVA Living Arrangement Codes for Long-Term Care Facilities
The Physician Certification (DHS-1503) indicates in what type of long-term care facility a client is living and their anticipated length of stay. The MMIS/RLVA codes for long-term care facilities are:
l 41 Nursing Facility (NF) I - Medicare Certified.
l 42 NF II - Non-Medicare Certified.
l 43 ICF/MR (public or private).
l 44 NF I - Short-Term Stay (< 30 days).
l 45 NF II - Short-Term Stay (< 30 days).
l 46 ICF/MR - Short-Term Stay (< 30 days).
l 48 Medical Hospital Stay (> 30 days). Includes people in Community-based behavioral health hospitals (CBHH).
Medical Assistance (MA) enrollees who reside in nursing facilities or ICF/DDs may be eligible for hospital or therapeutic leave days. A leave day is an overnight absence from an LTCF of more than 23 hours. Leave days allow the facility to reserve and receive payment for the client's bed when the client is hospitalized or on leave. An MA enrollee who is absent from a LTCF on a leave day is still considered to be residing in a LTCF.
For more information about leave days, as well as other long-term care facility provisions, see the MHCP Provider Manual (Chapter 27).