Section 500 - Definitions(a) "Cost of care in excess of the member fee" means the difference between all member account cost items and member account cost offset items as defined herein. The cost of care in excess of the member fee constitutes the unreimbursed cost of care.(b) "Period of stay" means any time a member is admitted to the California Veterans Home system on or after January 1, 1984, regardless of continuity of stay.(c) "Member account cost items" means the sum of all room and board charges, outside medical expenditures and other medical expenditures incurred during a members period of stay at any California Veterans Home.(1) "Room and Board Charges" means the per-diem charges based on a member's level of care and admission status for all services provided by the Home.(2) "Outside Medical Expenditures" means the actual costs of medical and dental services rendered to the member that are paid by the Home to any health care provider.(3) "Other Medical Expenditures" means co-payments or deductibles paid by the Home for treatment covered under the member's medical insurance.(d) "Member account cost offset items" means any payments received by the Home to offset the cost of care rendered to the member, including, Member Fees, Aid and Attendance payments, USDVA Per Diem and funds received from outside sources.(1) "Member Fees" or "Member Contribution Fee" means fees paid by the members to the Home as prescribed in Military and Veterans Code, § 1012.3.(2) "Aid and Attendance payments" means payments received by the Home from the United States Department of Veterans Affairs on behalf of the member pursuant to 38 U.S.C. §§ 1502(b), 1521(d), during any period of stay in the California Veterans Home system.(3) "USDVA Per Diem" means payments received by the Home from the United States Department of Veterans Affairs on behalf of the member pursuant to 38 U.S.C. § 1741, during any period of stay in the California Veterans Home system.(4) "Funds received from outside sources" means payments received by the Home from Medi-Cal, Medicare, supplemental insurance payments and any other voluntary payment, collection or net liquidation of assets received from external sources on behalf of a member.(e) "Income" means the annual proceeds, both earned and unearned, from the following sources:(1) Net wages: salaries; bonuses; commissions; reportable profits from a business; royalties.(2) Social Security Administration payments;(3) US Department of Veterans Affairs pensions; Aid and Attendance; and service-connected compensation payments;(5) Annuities; pensions; retirement payments;(6) Workers' Compensation payments;(7) Railroad Retirement benefits;(8) Excess proceeds received as a beneficiary from a life insurance policy after the amount expended on the insured person's last illness and burial expenses;(9) Spousal support by court order;(10) Cash gifts in excess of $1,000 annually;(11) Cash inheritances in excess of $1,000;(12) Cash converted from inherited assets;(13) Dividends; interest payments from any source;(14) Net income from real property including rents and proceeds from a sale; and(15) Gambling and lottery winnings.Cal. Code Regs. Tit. 12, § 500
1. Change without regulatory effect amending section and NOTE filed 5-30-96 pursuant to section 100, title 1, California Code of Regulations (Register 96, No. 22).
2. Change without regulatory effect removing subchapter 1 heading, renumbering former section 500 to section 501 and renumbering former section 506 to new section 500 filed 9-27-2018 pursuant to section 100, title 1, California Code of Regulations (Register 2018, No. 39). Note: Authority cited: Sections 1012.3 and 1035.6(b), Military and Veterans Code. Reference: Sections 1012.3, 1035, 1035.05 and 1035.6, Military and Veterans Code.
1. Change without regulatory effect amending section and Note filed 5-30-96 pursuant to section 100, title 1, California Code of Regulations (Register 96, No. 22).
2. Change without regulatory effect removing subchapter 1 heading, renumbering former section 500 to section 501 and renumbering former section 506 to new section 500 filed 9-27-2018 pursuant to section 100, title 1, California Code of Regulations (Register 2018, No. 39).