Responsibilities of the facility
Arkansas Code § 20-76-201; Arkansas Code § 20-77-107; Arkansas Code § 25-10-129
(a)
- (1) The facility must establish and maintain a system that ensures a full, complete, and separate accounting of each resident’s funds entrusted to the facility.
- (2) An acceptable accounting system is described below.
- (b) Resident funds cannot be commingled with facility funds or with the funds of any person other than another resident.
(c)
(1) The facility must deposit any Medicaid resident’s personal funds in excess of fifty dollars ($50.00) into an interest bearing account that:
- (A) Is separate from any of the facility’s operating accounts; and
- (B) Credits all interest earned on resident’s funds to that account.
- (2) In pooled accounts, there must be a separate accounting for each resident’s share.
- (d) Quarterly statements must be provided to each resident indicating account activity.
(e) The facility is required to notify each resident that receives Medicaid benefits:
- (1) When the amount in the resident’s account reaches two hundred dollars ($200) less than the Supplemental Security Income resource limit for one (1) person; and
- (2) That, if the amount in the account in addition to the value of the resident’s other nonexempt resources, reaches the Supplemental Security Income resource limit for one (1) person, the resident may lose eligibility for Medicaid or Supplemental Security Income.
- (f) The facility will convey funds upon the death of a resident in the manner prescribed in 20 CAR § 579-404.
- (g) Personal funds cannot be charged for any item or service which payment is made under Medicaid or Medicare.
- (h) Individuals handling personal funds must be bonded.
- (i) The facility will be responsible for any fund shortages or failure to document account transactions by failing to collect or retain appropriate receipts or journals.
(j)
- (1) The facility shall provide upon admission a Beneficiary Designation Form that shall only be completed by the resident at the time of admission, identifying to whom the resident trust fund will be distributed in the event of death.
- (2) The form must be completed in the presence of two (2) witnesses who shall affix their signatures to the form as witnesses.
- (3) If completed, the Beneficiary Designation Form shall remain permanently in the resident’s file.
- (4) No licensee, owner, administrator, employee, or representative of a long-term facility shall be named as a beneficiary to such funds.