Promoting and protecting the health and safety of all Idahoans
Español    Idaho.gov    About Us    Contact Us  

View Article

    
November 1, 2005                              
 
MEDICAID INFORMATION RELEASE MA05-32
 
TO:                 Residential and Assisted Living Facilities Certified Family Homes, Home                                                and Community Based Waiver Agencies, Personal Care Agencies
 
FROM:           Leslie M. Clement, Deputy Administrator
 
SUBJECT:     REPLACEMENT OF INFORMATION RELEASE 99-47:
                        COLLECTION OF THE CLIENT CONTRIBUTION
 
Effective immediately, the client contribution may be collected at the beginning of the first full month services are provided, but only when the participant or his legal representative has expressly approved the advance collection. Express approval may be obtained through a clause in the service agreement or the admissions agreement, or may be through a separate form of approval.  However, no matter what the form of approval, the provider must be able to show the participant or his legal representative was informed of the options and expressly approved advance collection of client contribution.  This replaces Information Release 99-47.
 
The elements as listed below must be added to the service agreement or admissions agreement to make clear the responsibilities and rights of the participants and of the provider. The participant must sign a new agreement when this new procedure is implemented.
 
1.      Describe timing of collection during month for services with co-pay
2.      Describe participant responsibility
3.      Describe collection process to include: interest accrual and amount for   overdue payment
4.      Describe consequences for non-payment
5.      Describe consequences for false statements, hiding assets, etc.
6.      No part of agreement will violate client rights
7.      Explain process for refund if client dies or leaves the facility, agency, certified     family home; or if the contribution amount changes.
 
If you have any questions, please contact Christine Baylis at 208-364-1891.
 
Thank you for your continued participation in the Idaho Medicaid Program.
 
LMC/cb
 
IDAHO MEDICAID PROVIDER HANDBOOK
This Information Release does not replace information in your Idaho Medicaid Provider Handbook.