Michigan Nursing Home Administrator (NHA) Practice Exam

For what type of services can a facility seek payment from a resident?

1. Emergency medical services

2. Covered services

3. Non-covered services informed by the resident

4. Mandatory healthcare services

The correct answer is: Non-covered services informed by the resident

In the context of nursing home facilities and the payment structure associated with resident services, the correct choice focuses on non-covered services that are informed by the resident. Residents have the right to be informed about the services available in the facility and can express their desires for specific types of care or services that may not be covered by standard payment plans, such as Medicare or Medicaid. This option emphasizes the importance of resident autonomy and informed consent. It recognizes that while a facility typically provides a range of covered services (which are usually defined and reimbursed by insurance), residents may wish to access additional services that their insurance does not cover. Therefore, seeking payment for these non-covered services requires clear communication and understanding between the facility and the resident. In contrast, emergency medical services and mandatory healthcare services are more universally defined and typically covered by regulatory frameworks or insurance policies, thus making them less relevant in this specific context of seeking payment for additional services. Covered services generally refer to those included in standard health insurance plans and do not take into account the resident's specific requests for additional, potentially non-covered care.