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CODE OF COLORADO REGULATIONS 10 CCR 2505-10 8.100 Medical Services Board

224 i) Non-Medical/Programmatic Leave. When combined non- medical/programmatic days in excess of 42 days are reported, verify adherence to the restrictions and conditions of section 8.482.44. ii) Medical Leave/Hospitalization. Verify that the patient payment is apportioned correctly between the nursing facility and the hospital so that no Medicaid payment is requested for the period. See also section 8.482.43. iii) The nursing facility may wait until the end of the month to complete the AP-5615 form for an ongoing hospitalization. g. For change in payer status: i) If Medicare or insurance is a primary payer during the month, verify the nursing facility’s calculation of the patient payment. ii) Complete and provide the AP-5615 to the nursing facility. h. For discharge or death of resident: i) Verify the date of death or discharge, and verify the correct patient payment including the resident's monthly income for the discharged month, and the amount calculated by per diem. All corrections must be initialed. ii) Note if the resident entered another Long-Term Care institution and, if so, enter the name of the new Long-Term Care institution in the system. iii) In the event the resident may return to the same facility, the AP- 5615 form may be completed at the end of the month for discharges due to hospitalization. i. For discontinuation of Long-Term Care eligibility: i) Initiate and send an AP-5615 form to the Long-Term Care institution within 5 working days of the date of determination that the client’s