Supplementation

Adding nutrients to the diet.


Partial payment for a portion of the cost of nursing home care by the patient or his family. Supplementation was, prior to 1972, a common requirement in State Medicaid programs in several of the southern States; the practice was stopped in response to a directive of the Senate Finance Committee set forth in the report on the 1967 Social Security Amendments. Supplement at ion should not he confused with the practice of requiring an individual to contribute his excess income to assist in payment for his nursing home care. Generally, under Medicaid, a nursing home must agree to accept reimbursement from the Slate as the full amount of its payment for service. As an example of the present Medicaid approach, a State may negotiate to pay $500 a month for nursing home care. If the individual has $125 in income of his own, he is allowed to retain $25 for personal incidental expenses and pays $100 to help meet the $500 rate for his care. The State then pays the other $400. Under a system of supplementation, however, a State pays a rate but the nursing home does not agree to accept that amount as full payment; accepting supplementation of the State rate by the individual or his family. The amount the homes collect in supplement is not under the control of the State. Supplementation generally was used where the State rate was admittedly not sufficient to pay for the cost of the care.


Addition to food of a nutrient in which the diet is deficient.


The addition of a vitamin, mineral, or other nutrient to a food.


 


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