MEDICAID BENEFITS FOR NURSING HOME CARE

All citizens of the United States are eligible to receive Medicaid benefits. Certain "qualified aliens" as defined under 8 U.S.C.S. § 1641 are also entitled to Medicaid benefits. States are authorized to determine the eligibility of a "qualified alien."

Unfair and Deceptive Insurance Practices; Rebating

In the insurance business, rebating is a practice whereby something of value is given to sell the policy that is not provided for in the policy itself. An example of rebating is when the prospective insurance buyer receives a refund of all or part of the commission for the insurance sale. Rebates can be made in the form of cash, gifts, services, payment of premiums, employment, or almost any other thing of value.

Part A - Home Health Care and Confinement

Medicare Part A will cover many of the costs associated with home health care if the care is both medically reasonable and necessary. If the patient is not entitled to Part A coverage, Part B may provide coverage.

Nursing Home Residents' Rights

Responding to rising abuse and neglect in nursing homes and other concerns, Congress passed the Nursing Home Reform Act of 1987 (Act). Given their particular infirmities and needs, nursing home residents are particularly vulnerable to neglect and abuse.

Medicare Basics

The Health Care Financing Administration (HCFA) administers Medicare, the federal government's health care insurance program for the disabled and the elderly. The HCFA contracts with private insurance companies to review and process the claims.