Admissions

Upon admission to our facility, you (or someone you have designated to act on your behalf) will be required to complete various forms, which we must have in order to provide treatment and to bill Medicare or your insurance for treatment provided for your care.

This can take some time, and we require that you come at least one day prior to your scheduled admission. Business office hours are Monday thru Friday, from 8 a.m. to 4 p.m.

Patient Responsibilities

  • Admissions
  • Medicaid/Medicare
  • Paperwork
  • Quality of Care
  • Transitioning

We do recommend visiting our facility prior of admission to assure that both the potential resident and the family that The Meadows of Fulton is the perfect place for your healthcare needs. A tour prior to admission, however, is not a requirement. If you would like to schedule a tour, we will gladly get that set up for you.

Our admissions process is not complicated, and our staff will be happy to guide you through it. Our staff will make it as simple and painless as possible for you. They can even complete most of it prior to you or your loved one’s arrival at our facility.

Any information regarding benefits is available from the Administrator or Social Services. The information outlined below is general and the programs are always subject to change.

 

Medicare is a federal health insurance program for individuals who are 65 years or older, who have been disabled for at least two consecutive years, who have been diagnosed with End-Stage Renal Disease, or who meet eligibility based upon other criteria set down by the Medicare program.

 

Medicaid is a state-funded program that helps individuals to pay for certain medical costs such as doctor’s visits, hospital stays, medications, and skilled nursing facility care. You may be eligible for Medicaid benefits if you happen to meet the eligibility requirements for the program, but those requirements vary by state.

Unfortunately, sometimes it does but you can pre-register to get on the list. Our staff would be happy to assist you with this.

Should a private pay resident come close to exhausting their own resources, they usually will then become eligible for Medicaid benefits. Our staff will be happy to you and your family with all options available to you and the process.

You could be eligible for receiving Medicaid benefits should you meet the eligibility requirements as determined by each state.

 

For more information on Medicaid, see the “Can you explain what Medicaid is?” question.

Medicare Part A can only pay for skilled nursing care in a facility that is certified to participate in the Medicare program and will only cover up to 100 days per spell of illness. In order to be eligible for utilizing Medicare benefits for skilled nursing care, your needs must meet certain criteria.

 

For more information, see the “Can you explain what Medicare Part A/Hospital Insurance is?” section.

Any information regarding benefits is available from the Administrator or Social Services. The information outlined below is general and the programs are always subject to change.

 

Medicare is a federal health insurance program for individuals who are 65 years or older, who have been disabled for at least two consecutive years, who have been diagnosed with End-Stage Renal Disease, or who meet eligibility based upon other criteria set down by the Medicare program.

 

Medicaid is a state-funded program that helps individuals to pay for certain medical costs such as doctor’s visits, hospital stays, medications, and skilled nursing facility care. You may be eligible for Medicaid benefits if you happen to meet the eligibility requirements for the program, but those requirements vary by state.

Medicare Part A assists in the process of paying for a stay in a skilled nursing facility that is certified to participate in the program. Part A has certain deductibles and co-insurance requirements that need to be met. The majority of individuals who are covered by it do not have to pay premiums for the Part A benefits.

 

This can only be used to pay for skilled nursing care in a facility that is certified to participate in the Medicare program and will only cover up to 100 days per spell of illness. In order to be eligible for utilizing Medicare benefits for skilled nursing care, your needs must meet certain criteria, such as:

  • Daily skilled nursing or rehabilitation services that can only be provided by a skilled nursing facility.
  • You have been in a hospital as an inpatient for at least three consecutive days and nights.
  • You are admitted to a skilled nursing facility within 30 days following your discharge from the hospital or your last covered skilled nursing facility stay.
  • Your stay in the skilled nursing facility is regarding a related condition that was treated in the hospital and a physician has certified that you need the services provided.
  • There is a 60-day wellness period is required by Medicare to start a new 100-day skilled benefit period.
  • There are certain supplies and services that are not covered. Please contact the Administrator or Social Services for the most current information.

Medicaid is a state-funded program that helps individuals to pay for certain medical costs such as doctor’s visits, hospital stays, medications, and skilled nursing facility care. You may be eligible for Medicaid benefits if you happen to meet the eligibility requirements for the program, but those requirements vary by state.

Individuals involved in the program are currently allowed to have cash reserves and other assets totaling up to a maximum set by the state-specific program. This excludes a non-revocable prepaid burial contract that is subject to limitations that set by the Medicaid Program Office. Should you have a spouse living at home, he or she may be able to keep a portion of your income and savings in order to meet his or her living expenses. Furthermore, your spouse can request an assessment to determine the exact extent of non-exempt resources at the time of admission.

A representative from the Department for Medicaid Services can review all of your financial information to determine and/or explain your eligibility for enrolling in the benefits program. The date that you qualify for benefits can also be determined by the representative. An application must be made in order to receive any benefits. Should you be unable to submit this application yourself, a family member, a legal representative, or another person who knows your circumstances may assist you.

A facility, if certified by the state Medicaid program, cannot refuse to admit you, nor may it discharge you solely because you receive Medicaid benefits in order to help you pay for the cost of care. Please let the staff know if you have applied for Medicaid or if you should decide to apply at a later date. When your Medicaid application has been approved, the facility will review all your past statements in order to refund any overpayments that have been made during the approval process.

There are certain supplies and services that are not covered. Please contact that Administrator or Social Services for the most current information. Listed below are examples of some items and services that may not be covered by the program:

  • Barber or beautician services (those not already routinely covered by the facility)
  • Flowers and plants
  • Newspapers and other reading material
  • Physical and Occupational Therapy Services (unless you are part of a physician-ordered program and meeting certain regulatory requirements)
  • Personal clothing or comfort items (this includes smoking materials if they are not prohibited at the facility)
  • Private room (unless it is deemed medically necessary)
  • Privately hired nurses, nursing assistants, or sitters
  • Telephone service
  • Cable/Satellite services
  • Transportation by ambulance to a physician’s office (unless this is part of your plan of care under Medicare)

All Medicare applications can be made with the Department for Medicaid Services. Following this process, it may take anywhere up to 45 days for your eligibility to be determined. This process itself can be made easier if you are prepared prior to your meeting. In order to do this, please bring the following items that the Medicaid caseworker may request from you:

  • Social Security card
  • Medicare care
  • Birth Certificate or another record of birth (if not a citizen, your legal residency card will work)
  • Bank statements on all accounts for the last three months (checking, savings, CD, etc)
  • All health and life insurance policies that give coverage for you, your spouse, and any children. If you are paying for insurance that covers someone else in your family (for example:   grandchildren), please also bring those policies.
  • Insurance premium books that list all of the policy numbers for all those that you pay premiums for.
  • All hospital, cancer, or accident policies you have as well as their identification cards and proof of payment for the premiums (for example: canceled checks or receipts).
  • Tax records and deeds to any property. The fair market value of the property will also be requested.
  • Any motor vehicle titles or registration cards for any vehicle listed under your name. Also proof of the amount you may owe on each vehicle.
  • Original documents for any stocks, bonds, or trust funds.
  • Prepaid burial contracts.
  • Any benefit award letters for Social Security, VA, retirement pensions, or supplemental securing income (SSI).
  • If you are currently employed, all pay stubs for the last eight weeks. If you are applying for a retroactive coverage (regular Medicaid only), you will need the stubs for all pay that was received during the months of the medical expenses you are seeking coverage for.
  • All medical bills and receipts for any expenses that were incurred in the last 3 months, paid or unpaid.
  • The itemized bill if you have had a recent hospital stay.
  • If you are disabled and have not applied for Social Security benefits or SSI, an application must be sent to the Social Security office. Proof that you have sent in an application for these benefits will need to be provided.
  • A power-of-attorney document should someone else be completing the application in your stead.
  • Please note, other items may be required in order to complete an accurate assessment of any resources and income. These items will be determined during the interview. Any direct deposit or bank statements will not be accepted as verification of income due to the gross monthly income needing to be initially verified.

Any paperwork that you will be asked for will be completed by your primary care physician or your attending physician in the hospital. We will obtain your medical history, your current list of medications, and any medical notes. If your transition will be straight from the hospital, our staff will get all of this information from the hospital to ease the transition period for you. If your transition will be home your home, we will work with your physician in order to obtain all of the necessary medical information.

You will need to provide us with a photo ID, Social Security card, Medicare card, and if applicable: an insurance card, Medicaid card, and Advanced Directives (a living will, power of attorney, etc).

All Medicare applications can be made with the Department for Medicaid Services. Following this process, it may take anywhere up to 45 days for your eligibility to be determined. This process itself can be made easier if you are prepared prior to your meeting. In order to do this, please bring the following items that the Medicaid caseworker may request from you:

  • Social Security card
  • Medicare care
  • Birth Certificate or another record of birth (if not a citizen, your legal residency card will work)
  • Bank statements on all accounts for the last three months (checking, savings, CD, etc.)
  • All health and life insurance policies that give coverage for you, your spouse, and any children. If you are paying for insurance that covers someone else in your family (for example:   grandchildren), please also bring those policies.
  • Insurance premium books that list all of the policy numbers for all those that you pay premiums for.
  • All hospital, cancer, or accident policies you have as well as their identification cards and proof of payment for the premiums (for example: canceled checks or receipts).
  • Tax records and deeds to any property. The fair market value of the property will also be requested.
  • Any motor vehicle titles or registration cards for any vehicle listed under your name. Also proof of the amount you may owe on each vehicle.
  • Original documents for any stocks, bonds, or trust funds.
  • Prepaid burial contracts.
  • Any benefit award letters for Social Security, VA, retirement pensions, or supplemental securing income (SSI).
  • If you are currently employed, all pay stubs for the last eight weeks. If you are applying for a retroactive coverage (regular Medicaid only), you will need the stubs for all pay that was received during the months of the medical expenses you are seeking coverage for.
  • All medical bills and receipts for any expenses that were incurred in the last 3 months, paid or unpaid.
  • The itemized bill if you have had a recent hospital stay.
  • If you are disabled and have not applied for Social Security benefits or SSI, an application must be sent to the Social Security office. Proof that you have sent in an application for these benefits will need to be provided.
  • A power-of-attorney document should someone else be completing the application in your stead.
  • Please note, other items may be required in order to complete an accurate assessment of any resources and income. These items will be determined during the interview. Any direct deposit or bank statements will not be accepted as verification of income due to the gross monthly income needing to be initially verified.

Unfortunately, sometimes it does but you can pre-register to get on the list. Our staff would be happy to assist you with this.

The facility and your physician establish the level of care that a patient needs as well as how much assistance with daily living activities, nursing supervision, or medical attention may be required. An individual plan of care will be completed and then shared with the resident as well as their family.

Give us a call at (662) 862-2165 and we can begin the process. If you are in the hospital, you can also ask your discharge planner or your case manager to contact The Meadows of Fulton and we will make the arrangements alongside keeping you informed of them. We also have members of our staff who can visit you in the hospital. They will meet with you and your care team in order to ensure that there is a smooth transition to our facility.

Any paperwork that you will be asked for will be completed by your primary care physician or your attending physician in the hospital. We will obtain your medical history, your current list of medications, and any medical notes. If your transition will be straight from the hospital, our staff will get all of this information from the hospital to ease the transition period for you. If your transition will be home your home, we will work with your physician in order to obtain all of the necessary medical information.

A transfer of resources by the resident of our facility or the spouse remaining at home could adversely affect the potential for Medicaid nursing facility services. This type of transfer is defined as cash, liquid assets, personal property, or real property that is voluntarily transferred, sold, given away, or otherwise disposed of at a less than fair market value.

If resources happen to be transferred 36 months prior to the month the Medicaid eligibility application was submitted or 60 months with regards to any resources transferred into a trust, it is presumed that this transfer of resources was for the purpose of establishing Medicaid eligibility. At that time, it would be determined that a prohibited transfer of resources has occurred (the burden of rebutting this will rest with the individual). Should the agency determine that a prohibited transfer of resources has occurred, an ineligibility period may be set forth beginning during the month of the transferred resources.

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