17 KAR 3:020. Maximum charge for room and
care at state veterans’ nursing homes.
RELATES TO: KRS 40.320, 40.325
STATUTORY AUTHORITY: KRS 40.325(2)
NECESSITY, FUNCTION, AND CONFORMITY: KRS
40.320 identifies the Commonwealth’s duty to provide for the well-being of elderly
and disabled veterans within state veterans’ nursing homes. KRS 40.325(2)
authorizes the Department of Veterans’ Affairs to promulgate any administrative
regulations necessary to operate the homes in compliance with applicable state
and federal statutes and regulations. This administrative regulation
establishes the maximum monthly resident charge for room and care at state veterans’
nursing homes.
Section 1. Definitions. (1) "Daily
cost of care" means the total annual expenditures on nursing home
operations divided by the total number of resident care days provided by the
three (3) nursing homes during the course of the fiscal year.
(2) "Department" means the
Kentucky Department of Veterans’ Affairs.
(3) "Nursing home" means a
state veterans’ nursing home operated by the Kentucky Department of Veterans'
Affairs.
(4) "Resident" means a veteran
admitted to a state veterans’ nursing home.
Section 2. Maximum Monthly Resident
Charge. (1) The maximum charge for room and care services at a state veterans’
nursing home shall be $3,700 per month, which shall include medical and
nonmedical services provided by the nursing home.
(2) Medical services obtained from
sources other than the nursing home may result in a charge from the source of
care to the resident. These medical services may include:
(a) X-ray;
(b) Dental;
(c) Optometry;
(d) Hospitalization;
(e) Ambulance service;
(f) Hearing aids;
(g) Podiatry;
(h) Specialized medications not on the
formulary; and
(i) Specialty care and equipment.
(3) The maximum monthly charge shall be
revised periodically based on changes that occur which affect the nursing
homes’ expenditures or sources of income. These changes may include:
(a) Increases in the daily cost of care
prompted by inflation in the cost of goods, services, and labor utilized to
provide nursing care;
(b) Availability of general funds
appropriated to the department by the legislature for operation of the three
(3) state veterans’ nursing
homes; or
(c) Changes in the per diem allocated by
the U.S. Department of Veterans' Affairs.
(4) If changes are made to the maximum
monthly charge, each affected resident shall be notified in writing at least
thirty (30) days prior to the change taking effect. The maximum amount shall
not be changed without an amendment to this administrative regulation made in
accordance with KRS Chapter 13A. (33 Ky.R. 1466; Am. 1787; eff. 2-2-2007; 35
Ky.R. 11; 611; eff. 12-4-2008; 38 Ky.R. 1460; eff. 5-4-12.)