Johnson v Rank

Issue

Johnson v Rank identified that LTC clients must be able to use medical expenses, including items and/or services, which are not covered by MC to help meet their SOC.

1. LTC clients will receive their MC cards on the first of the month.
2. The LTC facility will bill the client on the first of each month for the total SOC indicated on the card.
3. The LTC facility must pay for necessary non-covered medical services from the total SOC collected.

Decision

Effective October 1, 1989, all MC clients in LTC facilities must obtain a physician's prescription or order for any non-covered medical or remedial drug or service, when the cost is to be applied toward the SOC amounts.

Related Topics

Court Orders