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NEWS
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1/29/2002
Medicaid and a Private Room
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Paying to upgrade from a semi-private to a private room
Effective September 1, 1999, a family member or friend of a nursing facility Medicaid resident may pay an additional amount to place the resident in a private room under the following conditions:
The nursing facility can only charge the difference between the facility's private room rate and the facility's semi-private room rate.
The facility may not make the additional payment a requirement of admission or continued stay in the facility.
The facility may not charge an additional amount if the private room is medically necessary.
The facility is not required to move the Medicaid recipient to a private room if the family member or friend chooses not to pay the additional amount for a private room.
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