I-CMS ivula uhlelo
Amasevisi e-Medicare & Medicaid Services (CMS) kanye namazwe ahambela amakhaya asebehlengikazi njalo ukuze anqume ukuthi ngabe amakhaya asebehlengikazi anikeza ikhwalithi yokunakekelwa ukuthi i-Medicare ne-Medicaid idinga. Lezi "zinhlolovo" noma "ukuhlola" amaqembu zikhomba ukwehluleka kwekhwalithi yokunakekelwa. Baphinde babone noma yikuphi ukuhluleka kwezidingo zokuphepha komhlangano.
Uma izinkinga ezinkulu zingalungiswa, i-CMS ingaqeda ukubamba iqhaza kwekhaya labahlengikazi e-Medicare naseMedicaid. Ngaphambi kwalokho, ikhaya lingathola indlela yalo ohlwini lwawo owaziwa njengezikhungo ezikhethekile zokugxila. Yiluhlu lwamakhaya asebekhulile ukuthi (a) abe nomlando wezinkinga ezinkulu zekhwalithi futhi (b) afakwe ohlelweni olukhethekile lokugqugquzela ukuthuthukiswa kwekhwalithi yabo yokunakekelwa.
Iningi lamakhaya asebehlengikazi linamaphutha, kanti isilinganiso sesilinganiso se-6-7 siphumelelo ngalunye. Iningi lamakhaya asebahlengikazi lilungisa izinkinga zabo esikhathini esilinganiselwe. Kodwa-ke, amancane emakhaya asebekhulile analo:
Izinkinga ezingaphezu kwamanye amakhaya asebekhulile (cishe kabili inani lokulingana)
Izinkinga ezingathí sina kunamanye amakhaya amaningi asebekhulile (kubandakanya ukulimala noma ukulimala abahlali), futhi
Iphethini lezinkinga ezinkulu eziye zaqhubeka isikhathi eside (njengoba kulinganiswa eminyakeni emithathu ngaphambi kosuku lokuqala ikhaya labahlengikazi lafakwa kuqala ohlwini lwe-SFF).
Ukuthi Isikhungo Sokuqala Sokugxila Kanjani (SFF) Sokuqalisa
I-CMS idinga ukuthi imizi yokunakekelwa kwe-SFF ivakashelwe ngabanye ngamaqembu okuhlola kabili kaningi njengamanye amakhaya asebekhulile (cishe kabili ngonyaka). Uma izinkinga ziqhubeka isikhathi eside, izinyathelo ezithinta izinyathelo ezithintekayo ezithathwe. Izibonelo zezinyathelo ezinjalo zokuphoqelela ziyizigwegwe zemali zomphakathi ("izinhlawulo") noma ukuqedwa kwe-Medicare neMedicaid.
Kuzoba nomunye wemiphumela engaba ngu-3:
(a) Ukuthuthukiswa nokuphothula izifundo: Abaphothule ekhaya labahlengikazi ohlelweni lwe-SFF ngoba lenze ngcono kakhulu izinga lokunakekelwa.
(b) Ukuqeda uMnyango wezeMpilo: Ikhaya labahlengikazi liqedwa ngokuhlanganyela kwizinhlelo zeMedare and Medicaid. Ngenkathi ikhaya elinjalo labahlengikazi lingase liqhubeke ukusebenza (kuye ngokuthi umthetho kahulumeni), ngokuvamile kuzovalwa uma imali ye-Medicare ne-Medicaid ishiyiwe.
(c) Ukwandiswa Kwesikhathi: Ikhaya labahlengikazi linikezwa isikhathi esengeziwe sokuqhubeka ohlelweni lwe-SFF ngoba kube nenqubekela phambili enhle kakhulu, njengokudayiswa kwekhaya lokuhlengikaza komunye umnikazi onomlando ongcono kakhulu wokunikeza ikhwalithi ukunakekelwa.
Kumthengi
Uma ucabangela ukungena ekhaya lokuhlengikazi okufakwe kulolu hlu CMS incoma ukuthi:
Vakashela ikhaya labahlengikazi. Khuluma nabasebenzi, izakhamuzi, neminye imindeni. Ungase ucele ukubona imiphumela evela ekuhlolweni kokugcina koMbuso noma kwe-CMS (kufanele ibe endaweni etholakala kalula.)
Ngaphambi kokuvakasha kwakho, bheka umlando wokuhlola wekhaya labahlengikazi ekhaya lase- Nursing Qhathanisa ukuze ubone ukuthi yiziphi izindawo ezingase zibe inkinga.
Buza abasebenzi basekhaya labahlengikazi ukuthi benzani ukwenza ngcono izinga lokunakekela izakhamuzi zasekhaya labahlengikazi.
Shayela i-ejensi yokucwaninga kaHulumeni (isixhumanisi sekhaya labahlengikazi Qhathanisa) ukuze uthole okwengeziwe mayelana nekhaya labahlengikazi. Bheka ubude besikhathi lapho ikhaya labahlengikazi liye lafakwa ohlwini lwe-SFF. Lokhu kubaluleke kakhulu uma ikhaya labahlengikazi lihlala ekhaya labahlengikazi be-SFF izinyanga ezingaphezu kwezi-18-24, ngoba amakhaya anesihlengikazi asondelene nokuphothula iziqu (ngenxa yokuthuthukiswa) noma ukuqeda ukubamba iqhaza kwabo ku-Medicare naseMedicaid.
Shayela i-Ombudsman Yombuso Wendawo, Ukuphatha Ukuguga, namaqembu wendawo ukuze uthole okwengeziwe mayelana nekhaya labahlengikazi.
Sebenzisa "Umhlahlandlela Wokukhetha Ikhaya Lwabahlengikazi" (http://www.medicare.gov/Publications/Pubs/pdf/02174.pdf) etholakalayo kwikhaya labahlengikazi Qhathanisa.
Yiba umthengi onolwazi.