DeGraff Memorial Hospital
445 Tremont Street
North Tonawanda, NY 14120
- (716) 690-2080
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DeGraff Memorial Hospital Skilled Nursing Facility
Nursing Home Medicaid List of Required Documents
- Birth certificates for the applicant and spouse
- Social security cards for the applicant and spouse
- Alien registration card / I-94 card / Naturalization papers for the applicant and spouse
- Marriage certificate or separation papers or divorce papers
- Death certificate(s) of spouse(s)
- Veteran Discharge papers for applicant and /or spouse
- Power of Attorney Papers
- Written Authorization to Represent the Applicant
- Medicare and other health insurance cards and verification of monthly premiums
- Verification of ALL sources of income for the applicant and the spouse, such as but not limited to, wages, social security, pensions, veterans and military benefits, interest and dividend income. The gross amounts must be verified, with all deductions, and the frequency with which the income is received.
- Verification of ALL the assets of both the applicant and spouse MUST be documented. Account statements for all accounts currently active and those that were active within the last 36 months prior to the date of application must be provided. If the applicant or spouse set up a trust or are the beneficiaries of a trust, the trust document must be provided and all assets owned by the trust must be documented for the 60 months prior to the date of application.
Examples of some types of assets that must be documented are (but not limited to) checking & savings accounts, CD’s, stocks, bonds, mutual funds, retirement funds, annuities, Life insurance policies, burial spaces, burial funds, all properties owned, vehicles, mobile homes and RV’s.
Medicare is the Federal health insurance program that covers individuals over 65 and some disabled under 65. Medicare is divided into two parts: Part A hospital insurance and Part B medical insurance (optional). If you are eligible for social security there is no monthly premium for part A Medicare. The monthly premium for part B is automatically deducted from your Social Security check every month. In 2003 year Part B cost around $60 a month.
What Medicare covers:
Medicare pays for some preventive services and covers many services considered medically necessary. Part A pays for most in-patient hospital care, some in-patient skilled nursing home care, some home health care, and hospice care. Part B pays for doctors' services, out-patient hospital care, out-patient physical and speech therapy, some home health care, ambulance services, and some medical equipment and supplies.
What Medicare does not cover:
Basic Medicare won't pay for items like prescription drugs, physicals, hearing aids, eyeglasses, or long term care. Medicare pays for less than half of what it costs seniors for health care.
Title XIX of the Social Security Act is a Federal/State entitlement program that pays for medical assistance for certain individuals and families with low incomes and resources. This program, known as Medicaid, became law in 1965 as a cooperative venture jointly funded by the Federal and State governments (including the District of Columbia and the Territories) to assist States in furnishing medical assistance to eligible needy persons. Medicaid is the largest source of funding for medical and health-related services for America's poorest people.
Within broad national guidelines established by Federal statutes, regulations, and policies, each State (1) establishes its own eligibility standards; (2) determines the type, amount, duration, and scope of services; (3) sets the rate of payment for services; and (4) administers its own program. Medicaid policies for eligibility, services, and payment are complex and vary considerably, even among States of similar size or geographic proximity. Thus, a person who is eligible for Medicaid in one State may not be eligible in another State, and the services provided by one State may differ considerably in amount, duration, or scope from services provided in a similar or neighboring State. In addition, State legislatures may change Medicaid eligibility, services, and/or reimbursement during the year.
Security Information for Residents, Family & Visitors
Leave all valuables (jewelry, money, credit cards etc.) at home. Valuables should not be admitted with the resident. If necessary, the facility has a safe for valuables which are sealed in an envelope. The resident will receive a signed receipt for items placed in our safe. All belongings are logged in the chart.
- Do not bring large sums of money to the room; we highly recommend keeping just a couple of dollars on the resident's person.
- Do not leave valuables unattended in the room.
- Do not leave valuable items on the bed (especially glasses, hearing aids, dentures, etc.); they may get mixed in with soiled linen.
- A locked nightstand is available, Please see the social worker to obtain a key.
Family and Visitors
Please take home all resident valuables (jewelry, money, credit cards etc.). Residents do not need large sums of money.
- When leaving at night, if you would like an escort to your vehicle, please contact security by dialing "0" from the nursing unit.
- The visiting hours are from 10 a.m. - 8 p.m.