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Nursing homes and other healthcare facilities must provide equal access to quality care for all individuals regardless of source of payment. This includes providing the same services and following the same policies and practices regarding transfer and discharge, as defined in §483.5. Facilities may charge any amount for services furnished to non-Medicaid residents unless otherwise limited by state law, and must provide notice of changes in coverage for services to residents as soon as is reasonably possible. Room changes in a composite distinct part are subject to the requirements of §483.10(e)(7) and must be limited to moves within the particular building in which the resident resides. Facilities must not distinguish between residents based on their source of payment when providing services that are required to be provided under the law, and must inform each resident in writing before or at admission, and periodically during their stay, such as when a change in coverage occurs, of the facility’s available services and associated costs. Nursing homes and other healthcare facilities must take these actions to ensure that all residents are treated equally regarding transfer, discharge, and the provision of services, regardless of their payment source.
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