Iowa Administrative Code › Agency 801 - Veterans Affairs, Iowa Department Of › Chapter 10 - Iowa Veterans Home › Rule 801-10.36 - Leave, Bed Holds and 96-hour Passes

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Non-Title XIX members.
a.
			 Members are free to leave IVH grounds unless contraindicated by medical
			 determination. In cases where it is determined to be medically contraindicated
			 and a member chooses to leave, the member or legal representative must sign
			 "Discharge Against Medical Advice," Form 475-0940.
b. Leaves are required if the member expects
			 to be absent past midnight.
c. All
			 leaves other than free time shall require payment of member support charges as
			 though the member were in residency. Failure to pay regular member support
			 charges may result in discharge of the member. Leave length may be changed by
			 notification from the member or legal representative to the nursing unit social
			 worker or domiciliary office.
d.
			 Hospital leaves. Leaves spent in approved medical facilities away from IVH
			 shall not be counted against the 59-day leave time limit as set out in
			 paragraph 10.14(3)
"b."
Hospital leaves shall be granted and the charges for such
				leaves shall be as follows: During the first ten consecutive days of any
				hospital stay, the member shall pay the regular and usual assessed charge for
				the member's level of care. After the tenth day, if a mutual agreement is made
				between the resident or legal representative and the commandant or designee for
				the member's bed to be held for additional days, the member shall not be
				charged. Each monthly member support bill shall reflect any adjustments related
				to hospitalization.
Leaves to other medical facilities for the purpose of treatment
				shall be treated as hospital leaves.
e. General leaves.
(1) Twelve days of leave time each calendar
			 year shall be free time.
(2) The
			 member shall be charged the usual support charge for leave time over 12 days up
			 to and including 59 days.
(3) The
			 member shall be charged the full support rate for the level of care in which
			 the member resides for leave time over 59 days.
(4) Leave time is not cumulative from one
			 calendar year to another calendar year.
(5) Leave time the member has not utilized or
			 cannot utilize shall not be credited toward the member's support.
(6) Support charges for the member on leave
			 who wishes to retain the member's room or bed shall be due and payable as
			 though the member were in residency as set forth in paragraph
			 10.36(1)
"c."
f. When the nursing care member is on leave,
			 the member shall remain on in-house status for the first 12 leave days per
			 calendar year for DVA per diem purposes and IVH shall be financially
			 responsible for medical expenses, which include deductibles, co-pays and the
			 member's share after all insurance has been filed and paid to the medical
			 facility, unless the medical expenses are assumed by the member or legal
			 representative in relation to choice of medical facility.
g. When a member has used 12 non-hospital
			 leave days, IVH is not financially responsible for any medical charges for the
			 member while on leave.