Tenn. Comp. R. & Regs. 0720-45-.05

Current through September 10, 2024
Section 0720-45-.05 - APPLICATION PROCESS
(1) Applications and instructions for completion shall be provided to the nursing home by the Department.
(2) The nursing home must provide applications for grant assistance, as prescribed by the department, to all interested residents upon request.
(3) The nursing home must provide the necessary information to interested applicants in order to apply for grant assistance. Such information shall include certification of the number of days the individual has resided in the nursing home during the grant period for which no reimbursement was received from any state and/or federal medical care program and the per day expense for care at the nursing home. The nursing home is not required to compute the applicant's income nor ensure that the applicant actually files the application.
(4) The nursing home shall complete its certification and information required on the application form for each resident who desires to apply for grant assistance (including any person who previously resided in the facility but is no longer a resident at the time of application for grant assistance). The completed nursing home certification and information portion of the application shall be provided to each interested applicant no later than 15 days after the end of the period reflected on the application.
(5) It is the applicant's responsibility to complete his portion of the application and submit the completed application to the department.
(6) The applicant shall immediately notify the department of any changes that need to be made to the applicant's portion of previously filed application.
(7) A separate application must be filed for each nursing home in which the applicant resided for which grant assistance is being requested.
(8) Applications for grant assistance must be postmarked no later than July 31 following the State's Fiscal Year in which the requested grant period occurred except for residents who have previously been ineligible to apply for grant assistance due to having filed an application for state and/or federal medical care program for which a final determination has not been made. In those cases, the applicant has thirty (30) days to file for grant assistance after being informed of the final determination on his application for the state and/or federal medical care program. At that time, even if approved for the state and/or federal medical care program, the applicant can request grant assistance for any days for which the state and/or federal medical care program did not provide financial per them reimbursement for his nursing home care and for which grant assistance has not been previously provided.
(9) A new application must be filed for each state fiscal year in which grant assistance is requested after at least one month of nursing home care is received.
(10) Only one (1) application per state fiscal year must be filed for each nursing home in which the applicant resided.

Tenn. Comp. R. & Regs. 0720-45-.05

Original rule filed October 26, 1992; effective December 10, 1992. Amendment filed March 7, 1994; effective May 21, 1994. Transferred from chapter 1200-29-01 pursuant to Public Chapter 1119 of 2022 effective 7/1/2022.

Authority: T.C.A. §§ 4-5-202, 4-5-204, 68-11-201(15), and 71-5-1301, et seq.; and Public Chapter 425, Acts of 1993.