New Horizon Assisted Living
New Horizon
PHONE 305.951.9473
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services Financial reimbursment (2019 rates)
 
Our facility implements standard rates for two types of accomodations offered to our clients. These rates may vary depending on income and other factors such as level of care and state funding. These are the 2019 rate charts for single and shared rooms. Discounted rates may apply based on income and at the sole discretion of the management team.
   
   Medicaid or Managed care plan individuals
   Room type Level of care Client's responsibility State responsibility
   Shared Level 1 $850.00 * $1,325.00
   Shared Level 2 $1,200.00 * $1,325.00
   Shared Level 3 $1,400.00 * $1,325.00
   Private Level 1 $1,700.00 ** $1,325.00
   Private Level 2 $2,000.00 ** $1,325.00
   Private Level 3 $2,600.00 ** $1,325.00
   
   Non-medicaid individuals
   Room type Level of care Client's responsibility State responsibility
   Shared Level 1 $2,000.00 $0.00
   Shared Level 2 $2,500.00 $0.00
   Shared Level 3 $2,900.00 $0.00
   Private Level 1 $2,950.00 $0.00
   Private Level 2 $3,300.00 $0.00
   Private Level 3 $3,900.00 $0.00
     
    Level 1 = 100% Mobility, No incontinence, Mild-none psychiatric
    Level 2 = Limited mobility, Incontinence, Mild psychiatric
    Level 3 = No mobility, Hospice or equivalent diagnosis. Limited beds.
  ** = Higher state shared cost  
*   = Must have Medicare and qualify for the PACE program.
 
When calculating payments from the medicaid rate chart, state contributions are based on funding availability and subject to approval. State funding may take from 4-20 months with an average of 10 months from submission to approval. State funding is expected as part of the client's total payment. Declining state aid or a denial of funds for whatever reasons will result in a rate adjustment based on the non-medicaid rate chart.
     
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