Iowa Code r. 801-10.14 - Computation of member support
As a condition of admittance to and residency in IVH, each member is required to contribute toward the cost of that member's care based on that member's resources and ability to pay.
(1) A monthly member support bill shall be
sent to the member or legal representative charging the member for care in the
previous month with any necessary adjustment for prior months. A member shall
be required to pay member support charges from the member's liquid assets and
long-term care insurance benefits and from the member's income. The monthly
member support charge shall be the billable days, as set out in subrule
10.14(3), multiplied by the appropriate per diem from rule 801-10.15 (35D). This
amount shall be reduced by any offsets as set out in subrules 10.15(2) and
10.15(3). The member or legal representative shall pay an amount not to exceed
the amount calculated based on the resources available for the cost of care as
set out in this chapter.
(2) Title
XIX residents. If a member is certified as eligible and participating in the
Title XIX program, the amount of payment shall be determined by the department
of human services income maintenance worker.
(3) Billable days (non-Title XIX). Billable
days for members not participating in the Title XIX program shall be counted as
follows:
a. All days in the month for which
the member received care (in-house).
b. All leave days in excess of the 12 free
days up through the fifty-ninth leave day. Any leave days in excess of 59 days
shall be considered billable, and the member must pay the full support rate,
not the amount determined by resources.
c. The first ten days of each
hospitalization. After ten days, IVH assumes the authority to discharge the
resident but reserves the right to negotiate an extension to the bed hold, if
warranted, in the best interest of the resident and family, at the discretion
of the commandant or designee. A hospital stay may occur more than once in a
calendar year.
Notes
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