130 CMR 456.425 - Medical Leave of Absence (MLOA): Introduction
(A) MassHealth pays a nursing facility to
reserve a bed for up to 20 consecutive days for a member who is on a medical
leave of absence from the nursing facility, if all the conditions of
130
CMR 456.426 and
456.427 are met.
(B) In accordance with federal law, nursing
facilities must establish and follow a written policy regarding their bed-hold
periods, which must be consistent with the MassHealth bed-hold
policy.
(C) Following a medical
leave of absence of 20 days or fewer, the nursing facility must allow the
member to return to the nursing facility and resume residence unless the member
no longer requires the services provided by the nursing facility.
(D) When a member's hospitalization exceeds
20 days or does not meet the requirements of
130
CMR 456.426, the nursing facility must
immediately readmit the member to the facility, to the next available bed in a
semiprivate room, unless the member no longer requires the services provided by
the nursing facility.
Notes
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