Rosary Hill's Medicare and Medicaid Status

Rosary Hill Home, located in Hawthorne, New York, is a skilled nursing facility that does accept both Medicare and Medicaid. However, acceptance does not mean every bed is available under these programs at any given time, and the terms of coverage vary depending on your specific situation and the state's current funding.

Before you assume a bed is available or that your stay will be fully covered, you need to contact Rosary Hill directly to confirm current participation status, bed availability, and what portion of your care costs Medicare or Medicaid will cover. Nursing homes can participate in these programs but still have limited slots, waiting lists, or restrictions on which residents they can admit under each program.

This guide explains how Medicare and Medicaid coverage works at skilled nursing facilities like Rosary Hill, what you need to do before admission, and what questions to ask the facility directly.

Key Takeaways

  • Rosary Hill accepts both Medicare and Medicaid, but you must verify current bed availability and coverage terms by calling the facility directly at their admissions line.
  • Medicare covers up to 100 days of skilled nursing care after a hospital stay of at least three days, but only if the facility is Medicare-certified and your stay meets medical necessity requirements.
  • Medicaid coverage depends on your state of residence, income, and assets, and Rosary Hill's Medicaid participation may vary by program type or have a waiting list.
  • You will need hospital discharge paperwork, medical records, and proof of insurance or financial information before Rosary Hill can process your admission.
  • The facility's admissions team can tell you in one conversation whether a bed is currently available under your specific insurance and what your out-of-pocket costs will be.

How Medicare Coverage Works at Skilled Nursing Facilities

Medicare Part A covers skilled nursing care at facilities like Rosary Hill, but only under specific conditions. You must have been admitted to a hospital for at least three consecutive days (not counting the discharge day), and your doctor must order skilled nursing care as part of your recovery. The facility itself must be Medicare-certified, which Rosary Hill is.

Medicare pays the full cost of your first 20 days at the facility. From day 21 through day 100, you pay a daily copay (the amount changes each year; check Medicare.gov for the current figure), and Medicare covers the rest. After day 100, Medicare stops paying, and you are responsible for all costs unless Medicaid takes over or you pay out of pocket.

The key word is skilled care. Medicare does not cover custodial care — help with bathing, dressing, or daily living — unless it is part of a skilled nursing service like physical therapy or wound care. If you need only custodial care, Medicare will not pay, even if you are at a Medicare-certified facility.

What Medicaid Covers at Rosary Hill

Medicaid is a joint federal and state program, which means coverage rules and payment rates vary by state. If you live in New York, Medicaid will cover long-term care at Rosary Hill if you meet income and asset limits and the facility has a Medicaid bed available. If you live in another state, Rosary Hill may or may not accept your state's Medicaid; you must ask.

Unlike Medicare, which is time-limited, Medicaid can cover an indefinite stay at a nursing facility if you remain may be able to access. However, Medicaid requires you to spend down most of your assets before coverage begins. The asset limit and income limit vary by state, and the rules are complex; a Medicaid planner or your state's Medicaid office can tell you whether you currently meet the threshold.

Rosary Hill may have a waiting list for Medicaid beds even though it accepts Medicaid. Facilities often have more Medicare beds available than Medicaid beds because Medicare pays higher daily rates. Ask the admissions team how long the Medicaid waiting list is and whether you can be placed on it while you are still in the hospital or at home.

What to Do Before Contacting Rosary Hill

Gather your insurance information, hospital discharge paperwork (if you are coming from a hospital), and recent medical records before you call. Have your Medicare card or Medicaid card ready, and know your policy or member ID number. If you are explore for Medicaid for the first time, have information about your income and assets available.

If you are being discharged from a hospital, ask the hospital's discharge planner to contact Rosary Hill on your behalf. Discharge planners often have direct relationships with local nursing facilities and can speed up the admission process. They can also tell you whether Rosary Hill has a bed available under your insurance before you make the call yourself.

Write down the specific questions you want answered: Is a bed available under Medicare or Medicaid right now? What is the daily copay or out-of-pocket cost? How long is the Medicaid waiting list? What documents do you need to bring? Having a list prevents you from forgetting important details during the call.

How to Contact Rosary Hill About Admission

Call Rosary Hill's admissions department directly. The facility's main number is (914) 769-4400. Ask to speak with someone in admissions or the business office who can answer questions about Medicare and Medicaid coverage. Be prepared to provide your name, date of birth, insurance information, and a brief description of why you need nursing care.

If you cannot reach admissions by phone, ask whether you can submit an inquiry online or whether a staff member will call you back. Some facilities have online portals or email addresses for admissions questions. Write down the name and direct phone number of the person you speak with, along with the date and time of the call, in case you need to follow up.

If Rosary Hill does not have a bed available under your insurance, ask whether they maintain a waiting list and how you can be added to it. Also ask whether they can recommend another facility in the area that does have availability under your coverage.

Documents You Will Need for Admission

Rosary Hill will ask for several documents before admission. Have these ready or know where to get them quickly:

  • Insurance card (Medicare and/or Medicaid)
  • Hospital discharge summary and orders (if coming from a hospital)
  • Recent medical records and test results
  • List of current medications with dosages
  • Proof of identity (driver's license or passport)
  • Social Security number
  • Financial information (for Medicaid verification, if applicable)
  • Proof of residence (utility bill or lease)

If you are coming from a hospital, the hospital's discharge planner will usually send these documents to Rosary Hill electronically. If you are coming from home, you may need to gather them yourself or ask your doctor's office to send them. Ask Rosary Hill which documents they need most urgently so you can prioritize.

What Happens If Your Coverage Changes or Runs Out

If you are admitted under Medicare and your 100 days run out, Rosary Hill will notify you before coverage ends. At that point, you have several options: pay out of pocket, transition to Medicaid if you are may be able to access, or move to a different facility. Some people use a combination — Medicare for the first 100 days, then Medicaid for ongoing care if they may have access to.

If you are on Medicaid and your may be able to access changes (for example, if you receive an inheritance or your income increases), you must report it to your state's Medicaid office. Failure to report changes can result in overpayment demands or loss of coverage. Rosary Hill's social worker or business office can help you understand what changes you need to report.

Frequently Asked Questions

Can I choose Rosary Hill if I am on Medicaid?

Yes, you can choose Rosary Hill if it accepts your state's Medicaid and has a bed available. However, if there is a waiting list, you may not be admitted when ready. Some people are placed on the waiting list while still in the hospital or at home and admitted when a bed opens.

Will Medicare pay for my entire stay at Rosary Hill?

Medicare pays for up to 100 days if you meet the requirements (three-day hospital stay, skilled care ordered by a doctor, and the facility is Medicare-certified). You pay a daily copay from day 21 onward. After day 100, Medicare stops paying unless you transition to Medicaid or another coverage source.

What if I do not have Medicare or Medicaid?

You can still be admitted to Rosary Hill if you pay out of pocket. Ask the admissions team about private pay rates and whether the facility offers any financial information or payment plans. Some facilities reduce rates for residents who run out of Medicare coverage and are waiting for Medicaid approval.

How long does it take to be admitted to Rosary Hill?

If you are coming from a hospital and a bed is available, admission can happen within one to three days. If you are on a waiting list or need time to gather documents, it may take longer. The admissions team can give you a more specific timeline once they review your situation.

Can I transfer from Rosary Hill to another facility if I am unhappy?

Yes, you can request a transfer at any time, though your insurance may have requirements about how much notice you must give. Talk to the social worker or business office about the transfer process. If you are on Medicaid, the state may have rules about transferring between facilities.