Section 1599.69 Of Chapter 3.93. Admission Contracts For Long-term Health Care Facilities From California Health And Safety Code >> Division 2. >> Chapter 3.93.
1599.69
. (a) The contract of admission for any long-term health
care facility that is a Medi-Cal certified facility shall state in
bold capital letters of not less than 10-point type that neither the
prospective resident, nor his or her representative, may be required
to pay privately for any period during which the resident has been
approved for payment by Medi-Cal, and that as provided by Section
14019.3 of the Welfare and Institutions Code, upon presentation of
the Medi-Cal card or other proof of eligibility, the facility shall
submit a Medi-Cal claim for reimbursement, subject to the rules and
regulations of the Medi-Cal program, and the facility shall return
any and all payments made by the beneficiary, or any person on behalf
of the beneficiary, for Medi-Cal program covered services upon
receipt of Medi-Cal payment. The contract shall state in bold capital
letters of not less than 10-point type that no certified facility
may require as a condition of admission, either in its contract of
admission or by oral promise prior to signing the contract, that
residents remain in private pay status for a specified period of
time.
(b) No contract of admission may require notice of a resident's
intent to convert to Medi-Cal status prior to the date of the
resident's application for Medi-Cal status. This subdivision does not
preclude the facility from requesting notice from a resident who has
been admitted.