Eligibility Criteria for Nursing Home Residents 400-29-35-10

(Revised 10/01 ML #2738)

View Archives

 

 

An individual may receive benefits under this chapter if the individual:

  1. Meets eligibility criteria established under Section 400-29-35-05 of this chapter;

  2. Has resided in a nursing facility for at least six months;

  1. Was ineligible for Medicaid upon admittance to the nursing facility; and

  2. Subsequently denied nursing facility level of care; or

  3. Eligible for Medicaid but no longer meets nursing facility level of care criteria.

  1. During the first six months in a nursing facility, an individual may be eligible if:

  1. The individual’s spouse is admitted to the nursing facility at a nursing level of care; and

  2. There is not a basic care provider in the same city or town as the nursing facility.

  1. Meets functional assessment criteria established in the North Dakota Administrative Code Chapter 75-02-10-06.

 

The request for all functional assessments will only come from the state office in these situations (even if a nursing home is already a basic care provider).