Sample Mutual Aid
Transfer Agreement
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"The following nursing home facilities agree to accept residents from other
facilities in the event of a disaster. A disaster is any event, natural, man-made or
technological, that the facility determines that a partial or full evacuation is
necessary.
"This transfer would not exceed the receiving facility's total bed capacity
on a long-term basis.
"All facilities involved in a transfer during a disaster will be responsible for
contacting the Department of Health and Family Services for decisions regarding
Medicare/Medicaid reimbursement and any other issue.
"The facilities involved in transferring residents during a disaster will mutually
determine the beds available, whether special needs and resident choice can be
accommodated.
"All employees of the transferring facility will remain employees of the
transferring facility for the purpose of worker's compensation insurance.
"The
receiving facility will distribute facility policies and procedures and information on
emergency plans to employees of the transferring facility. The receiving facility
will assign all employees to work with the transferring facility personnel.
"Medical records will be evacuated as discussed in each facility's emergency plan.
"The receiving facility will be responsible for all resident related costs after
12:00 midnight on the day of evacuation.
"This agreement will renew automatically annually unless prior written 30-day
notice is given."
Last Updated: November 22, 2004 |
