{"ref":"LA-HC-BUS-01","title":"Fees, Billing, and Financial Arrangements","category":"Business","summary":"Sets how the Agency tells each client, before admission, what services cost and who pays, how it bills private-pay clients, Medicaid and other payers accurately, what it may never charge, and how unpaid balances are handled under Louisiana's rules on involuntary discharge for nonpayment.","inShort":["Every client is told in writing, before services start, what services cost and who pays.","Medicaid clients never pay for covered services. Never ask a client or family for money.","The Agency bills only for care you actually gave and recorded, so clock in and out through EVV every visit.","Write down exactly what you did. Your service log is the proof for every bill.","Send any client question about a bill to the office."],"primaryCitation":"LAC 48:I.5039.D.2.d","citations":["LAC 48:I.5039.D.2.d","LAC 48:I.5049.A.13","LAC 48:I.5037.A.3","LAC 48:I.5037.C.3","LAC 48:I.5037.E.2","LAC 48:I.5037.F.3","LAC 48:I.5021.D.7","LAC 48:I.5021.D.16","LAC 48:I.5055.C.8","Medicaid Services Manual, Chapter 30, §30.7","Medicaid Services Manual, Chapter 30, §30.8","La. R.S. 46:437.1 et seq."],"federalCitations":["42 CFR §447.15"],"surveyorAsks":["Show me where this client's service agreement states the financial arrangements and any fees the client pays.","How did you inform the client of the financial aspect of services?"],"forms":[{"ref":"LA-HC-BUS-01-A","title":"Schedule of Charges and Financial Arrangements"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I.5039.D.2.d)","5. Telling the Client Before Admission","6. Billing Private-Pay Clients","7. Billing Medicaid and Other Payers","8. What the Agency Never Charges","9. Unpaid Balances and Nonpayment","10. Accounting","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"la-hca","state":"Louisiana","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}