CMS ivula kwakhona inkqubo
Amaziko e-Medicare & Medicaid Services (CMS) kunye namazwe atyelela amakhaya angamahlengikazi rhoqo ukuba aqinisekise ukuba ngaba amakhaya anamahlengikazi anika umgangatho wokunyamekela ukuba i-Medicare neMedicaid idinga. Ezi "zophando" okanye "ukuhlola" amaqela achaza ukungaphumeleli kumgangatho wokunyamekela. Baphinde bachonge nasiphi na ukungaphumeleli kwiimfuneko zokukhuselwa kweemfuno.
Ukuba iingxaki ezinzulu azilungiswa, i-CMS inokuphelisa inxaxheba kwindlu yabongikazi kwi-Medicare naseMedicaid. Ngaphambi koko, ikhaya lingayifumana indlela yayo kwiluhlu lwezinto ezibizwa ngokuba yiZixhobo eziPhambili zoPhuhliso. Luluhlu lwamakhaya asebekhulile ukuba (a) abe nembali yeengxaki ezinzulu kwaye (b) zibandakanywe kwinkqubo ekhethekileyo yokukhuthaza uphuculo lomgangatho wokunyamekela.
Uninzi lwabantu abanamakhaya abahlengikazi banokusilela, kunye nomyinge ophakathi kwe-6-7 ukusilela kwiphononongo nganye. Uninzi lwabahlengikazi balungisa iingxaki zabo ngexesha elifanelekileyo. Nangona kunjalo, amancinci amakhaya angamahlengikazi:
Iingxaki ezingaphezu kwamanye amakhaya anamahlengikazi (malunga nokuphindwe kabini kwinani eliphakathi kokungaphumeleli),
Ingxaki ezinzulu ngakumbi kunamanye amaninzi amakhaya angamahlengikazi (kuquka ukulimala okanye ukulimala abahlali), kunye
Umzekelo weengxaki ezinzulu eziye zaqhubeka kwixesha elide (njengoko lilinganiselwe kwiminyaka emithathu ngaphambi komhla lowo ikhaya lokuqala labahlengikazi lafakwa kuqala kuludwe lwe-SFF).
Indlela yoPhuhliso oluKhethekileyo (iSFF)
I-CMS idinga ukuba amakhaya okunakekelwa kwe-SFF ahanjiswe ngumntu ngamaqela ophando kabini ngokuphindaphindiweyo njengamanye amakhaya angamahlengikazi (malunga nokuphindwe kabini ngonyaka). Ngexesha elide iingxaki ziqhubekayo, izenzo zokuthotyelwa eziza kuthathwa. Imizekelo yezenzo zokunyanzeliswa kwezi zihlwayo zerhafu zomntu ("iintlawulo") okanye ukupheliswa kwi-Medicare neMedicaid.
Kuya kubakho esinye seziphumo ezi-3 ezikhoyo:
(a) Ukuphucula nokuQeqesha izifundo: Abaphumelele kwikhaya labahlengikazi kwiprogram ye-SFF ngenxa yokuba yenze intuthuko ebalulekileyo kumgangatho wokunyamekela.
(b) Ukupheliswa kwi-Medicare: Ikhaya labangama -nursing liye lapheliswa ngokuthatha inxaxheba kwiiprogram zeMedare and Medicaid. Ngelixa ikhaya elinonophala elinjalo lingaqhubeka liqhuba (kuxhomekeke kumthetho kaRhulumente), ngokuqhelekileyo kuya kuvala emva kokuba i-Medicare ne-Medicaid ixhaswe ngemali.
(c) Ukongezwa kwexesha: Umzi wolondolozo unikezwa ixesha elongezelelweyo lokuqhubeka kwinkqubo ye-SFF kuba kukho intuthuko enokuthembisayo kakhulu, njengokuthengiswa kwekhaya lokunyamekela komnye umnini onomxholo ongcono kakhulu wokubonelela ngomgangatho nya mekela.
KumThengi
Ukuba ucinga ngokungeniswa kwikhaya labahlengikazi elibandakanyiweyo kuluhlu lweCMS lucebisa:
Ndwendwela kwikhaya lononophala. Thetha kubasebenzi, abahlali kunye nezinye iintsapho. Unokucela ukuba ubone iziphumo ukusuka kwiseshoni yokugqibela ye-State okanye yeCMS (kufuneka ibe kwindawo efikeleleka kalula.)
Ngaphambi kokutyelela kwakho, jonga imbali yophando kwindlu yokuhlengikala kwikhaya elinobuhlengikazi Qhathanisa ukuze ubone ukuba yiziphi iinkalo ezinokuba yingxaki.
Buza abasebenzi basekhaya labahlengikazi ukuba benze ntoni ukuphucula umgangatho wokunyamekela abahlali kwikhaya labahlengikazi.
Shayela i-agency ye-survey yombuso (uqhagamshelana neKhaya laseMhlengikazi thelekisa) ukuze ufumane ulwazi oluthe xaxa malunga nekhaya labahlengikazi. Khangela ubude bexesha apho ikhaya labahlengikazi liye kwiluhlu lwe-SFF. Oku kubaluleke kakhulu ukuba ikhaya labahlengikazi lihlala kwikhaya lokunakekelwa kwe-SFF kwiinyanga ezili-18-24, kuba loo makhaya anesihlengikazi esondeleyo nakwiphumelelo (ngenxa yokuphucula) okanye ukuphela kokuthatha inxaxheba kwi-Medicare neMedicaid.
Shayela u-Ombudsman wakho weNgingqi, ulawulo lokuguga, kunye namaqela angingqi ukuze ufumane okungakumbi malunga nekhaya labahlengikazi.
Sebenzisa "Isikhokelo Sokukhetha Ikhaya Lwabahlengikazi" (http://www.medicare.gov/Publications/Pubs/pdf/02174.pdf) efumaneka kwiKhaya lokuLondolozwa.
Yiba ngumthengi onolwazi.