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Nursing Facility Services

What are Medicaid Nursing Facility services?

Nursing Facility (NF) services include room, dietary services, nutritional supplements, social services, activities, respiratory therapy and supplies, nursing services, the use of equipment and facilities, medical and surgical supplies, prosthetic devices, laundry services, drugs ordered by the physician and personal items routinely provided by the facility.

Also included, if ordered by the physician, are X-rays, physical therapy, speech therapy, occupational therapy, laboratory services and oxygen, and related oxygen supplies and ventilator use.

Who is eligible for Nursing Facility Services

You may be  eligible for Nursing Facility Services if:

  • You reside in a facility that participates in the Kentucky Medicaid Program and are placed in a Medicaid certified bed;
  • You require and meet the Nursing Facility Level of Care criteria (as defined by Section 4 of 907 KAR 1:022) giving consideration for the medical diagnosis, age-related dependencies, care needs, services and health personnel required to meet these needs and the feasibility of meeting the needs through alternative institutional or non-institutional services; and
  • You meet the income and resource limitations required by the program.
How can I apply?

An application for Medicaid may be filed at your local Department for Community Based Services Office.  At the time of application, an individual or family should be advised to bring proof of:

  • Social Security Number;
  • Proof of Identity (Drivers License);
  • Proof of Citizenship (Birth Certificate); 
  • Health Insurance;
  • Medical bills
  • Income
  • Resources
  • life insurance policies or burial reserves

A Medicaid application is more likely to be processed sooner if the individual or family provides the above information.

What if I want to Stay in My home?
For more information on waiver services to stay in your home, click here.

 

Related Content
 

Regulations:
907 KAR 1:022

Nursing Facility Rates
To view a copy of the most current Rates, go to the Fee and Rate Schedule page.

Publications:
Long Term Care Directory (rev. 12/07 by OIG)

Nursing Facility (NF) Services Manual
Part A - Part B

Provider Letters:
Provider Letter # A-232 - October 1, 2007 Standard Price Increase
 (10/31/07)

Provider Letter # A-231 - On Site Continued Stay Review Process (10/02/07)

Provider Letter # A-230 - MMIS Prior Authorization Process (09/10/07)

Provider Letter #229 - Bed Reserve Census (10/2/07)

To view other copies of the most current provider letters, go to the Provider Letter page.

 

Contact Information
 

Department for Medicaid Services

Division of Long Term Care and Community Alternatives

275 East Main St.
6W-B
Frankfort, KY 40621

Nursing Home assistance:
(502)564-5707

Contact us by email:
CHFS DMS Webmaster

 

Last Updated 5/12/2008
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