KRS 216.535: Definitions for KRS 216.537 to 216.590 -- Disclosure requirements.

(1) As used in KRS 216.537 to 216.590:

(a) "Long-term care facilities" means those health care facilities in the

Commonwealth which are defined by the Cabinet for Health and Family

Services to be family care homes, personal care homes, intermediate care

facilities, nursing facilities, nursing homes, intermediate care facilities for

individuals with intellectual disabilities, and assisted living communities as

defined in KRS 194A.700;

(b) "Cabinet" means the Cabinet for Health and Family Services;

(c) "Resident" means any person admitted to a long -term care facility as defined

by this section;

(d) "Licensee" in the case of a licensee who is an individual means the individual,

and in the case of a licensee who is a corporation, partnership, or association

means the corporation, partnership, or association;

(e) "Secretary" means the secretary of the Cabinet for Health and Family

Services;

(f) "Long-term care ombudsman" means the person responsible for the operation

of a long -term care ombudsman program which inv estigates and resolves

complaints made by or on behalf of residents of long-term care facilities; and

(g) "Willful interference" means an intentional, knowing, or purposeful act or

omission which hinders or impedes the lawful performance of the duties and

responsibilities of the ombudsman as set forth in this chapter.

(2) The following information shall be available upon request of the affected Medicaid

recipient or responsible party:

(a) Business names, business addresses, and business telephone numbers of

operators and administrators of the facility; and

(b) Business names, business addresses, and business telephone numbers of staff

physicians and the directors of nursing.

(3) The following information shall be provided to the nursing facility patient upon

admission:

(a) Admission and discharge policies of the facility;

(b) Payment policies relevant to patients for all payor types; and

(c) Information developed and distributed to the nursing facility by the

Department for Medicaid Services, including but not limited to:

1. Procedures for implementation of all peer review organizations' reviews

and appeals processes;

2. Eligibility criteria for the state's Medical Assistance Program, including

circumstances when eligibility may be denied; and

3. Names and telephone numbers for case managers and all state long term

care ombudsmen.