Screen Reader: Reads content on the page.
Contrast Adjuster: Adjust color to meet your individual needs.
Text Magnifier: Adjust the size of text on the page to make reading easier.
And more!
Course Content
For help with course content reach out to Jennifer Rosenberg.
Technical Assistance
For help with HDI Learning and issues with the website, please use the “Contact Us” button.
You have completed Establishing Payments to Facilities and Service Providers. This course is part of a series of training required for Fiduciary staff. Once you mark this lesson complete, you will have access to your certificate of completion and will be granted access to the next course.
“You have reached the final quiz for the course. You must score a minimum of 80% to successfully pass the course and earn your completion certificate. You make take the quiz as many times as needed.”
“In this course, you have learned the critical components of establishing facility payments based upon the level of care, as well as payments to service providers.
The Fiduciary Branch ensures prompt review, accuracy, and payment to maintain the health, safety, and well-being of individuals under guardianship.”
“A bed hold may occur when an individual under guardianship must be away from their facility residence for a temporary absence due to a hospital stay, offsite rehabilitation, incarceration, etc.
It is important for Fiduciary staff to understand how bed holds work to properly maintain an individual’s living arrangement when a temporary leave of absence occurs, and when financial resources are available to accommodate a bed hold.
In these situations, Fiduciary staff work collaboratively with Guardianship field staff to determine what is in the best interest of the individuals under guardianship.
In this lesson, we’ll review the regulatory procedure for bed holds.”
“The Fiduciary Branch ensures all medical and pharmacy payments for individuals under guardianship are processed and paid timely to prevent any hardships on individuals or service providers.”
“Per KRS 387.680, the Fiduciary Branch strives to provide disbursement of personal needs for individuals under guardianship in a manner that a prudent person would manage his or her own financial resources. One way this may be done is by using a Resident Trust account or RTA. Let’s review how the RTA works for individuals under guardianship.”
Pull monthly reports from KYGFIS to confirm which resident accounts are due and obtain quarterly RTA statements from the facilities.
If a time frame or needed documents are missing from the quarterly statement, Fiduciary staff will reach out to the provider to request any additional information needed.
Review each RTA Statement for accuracy and verify the account balance at the end of the month. This review involves the auditing of expenses to ensure they are appropriate.
“It’s time to take a quick knowledge check to review what we’ve learned so far. You must score a minimum of 80% to successfully pass the quiz. You may take the quiz as many times as needed. Select the knowledge check below to continue. ”
“The Fiduciary Branch shall utilize facility invoices to process timely payments when an individual under guardianship has available funds to make payments and to provide personal needs funds. Let’s review how these payments are processed.”
To process non-recurring payments, Fiduciary staff review facility statements of charges to ensure proper billing and payment for each individual under guardianship.
Fiduciary staff also verify that individuals have sufficient funds to cover the billed expenses. If funds are found to be insufficient, Fiduciary staff should consult their supervisor.
State Psychiatric Hospital bills are processed and paid within 3 business days of receipt.
Room and board and any personal needs expenses itemized on the statement of charges are paid and verified. Fiduciary staff must select the correct vendor in KYGFIS for payment.
It is important to note that facility payments are not processed by payment requests. If a payment request is submitted to Fiduciary, payment is denied and forwarded to designated Fiduciary staff for payment processing.
For individuals under guardianship who have the financial resources to private pay, monthly statements of charges are processed and scheduled for payment according to the itemized monthly billing statement.
Prorated Billing will be used for payments made for individuals who reside in a facility for a specified number of days in a month. In these cases, payment is made according to the exact number of days at the facility that are less than a full calendar month.
Example: If an individual is admitted to a nursing facility on the 10th of the month, Fiduciary will calculate and issue payment to cover the 10th through the last day of the month.
