N.J. Admin. Code § 5A:5-5.4

Current through Register Vol. 56, No. 21, November 4, 2024

Section 5A:5-5.4 - Financial responsibilities for veterans' memorial home resident

(a) An eligible applicant who desires admission and whose assets are in excess of the maximum allowable assets may be admitted on a bed available basis. They will be billed for and required to pay the cost of care and maintenance as determined by the Adjutant General until their resources meet the maximum allowable assets.

(b) When an account exceeds the maximum allowable assets, the resident will be billed and required to pay the cost of care and maintenance until the maximum allowable asset limit is reached.

(c) The resident or the person who has control of the resident's financial accounts, income, and assets will be responsible for all financial obligations for the services not provided by the veterans' memorial home. This includes, but is not limited to:

1. Transportation;

2. Medical appointments;

3. Hospitalization;

4. Specialized services/programs/treatments;

5. Adaptive equipment;

6. Diagnostic services;

7. Other outside services as requested by the resident;

8. Deductible fees not covered by medical insurances;

9. Payment for pharmaceuticals to reimburse Medicaid as required;

10. Telephone;

11. Television;

12. Outside personal laundry services;

13. Outside physician services;

14. Any non-payment of debts incurred by the resident, including healthcare costs; and

15. Personal purchases.

(d) The facility will not accept responsibility for any nonpayment of debts incurred by a resident including health care costs.

(e) All personal property of the resident is the responsibility of the resident or guardian. The facility assumes no responsibility and will not reimburse a resident for loss or damage of personal items.

(f) Any resident who is transferred to an outside facility for any period of time is required to continue to pay the care and maintenance fee in order that placement in the facility be guaranteed.

N.J. Admin. Code § 5A:5-5.4

Amended by R.1998 d.3, effective 1/5/1998.
See: 29 N.J.R. 4215(b), 30 N.J.R. 63(a).
In (d), inserted new (d)9, requiring Medicaid reimbursement for pharmaceutical payments; and inserted new (g) explaining responsibility for payment in the event of a transfer to an outside facility.
Amended by R.2006 d.209, effective 6/5/2006.
See: 38 N.J.R. 1271(a), 38 N.J.R. 2418(b).
Section was "Financial responsibilities for veterans' facility resident". Deleted (b) and recodified (c) through (g) as (b) through (f).
Amended by R.2014 d.022, effective 1/21/2014.
See: 45 N.J.R. 2065(a), 46 N.J.R. 204(a).
Section was "Financial responsibilities for veterans' skilled nursing facility". Rewrote the introductory paragraph of (c); in (c)8, deleted "and" from the end; in (c)9, substituted a semicolon for a period at the end; and added (c)10 through (c)15.