{"ref":"MI-HC-BUS-04","title":"Private Pay Services: Charges, Billing, and Cancellation","category":"Business","summary":"Sets the Agency's own rules for private-pay services (a written schedule of charges before services start, billing, deposits, rate changes with notice, cancellation and refunds) and the firm limits that apply to Medicaid clients: authorized Home Help and MI Choice services are paid in full by the program, and a Medicaid client may be charged only for services the program does not cover, after being told in writing before the service.","inShort":["Private-pay clients get a written list of charges before services start.","Clients are charged only for services actually given.","Clients get 30 days' written notice before a general rate increase.","Medicaid clients are never charged for services Medicaid authorized.","Never accept money, tips or gifts from a client. Send billing questions to the office."],"primaryCitation":"MCL 400.111b(14)","citations":["MCL 400.111b(14)","MCL 400.111b(15)","MPM General Information for Providers §10.1","MPM General Information for Providers §13.1","MPM Home Help §8.9","MPM MI Choice Waiver §9.6"],"federalCitations":[],"surveyorAsks":["Has any Home Help client or family ever paid you for extra hours? Show me how that was arranged.","Show me the schedule of charges you give private-pay clients."],"forms":[{"ref":"MI-HC-BUS-04-A","title":"Schedule of Charges and Billing Notice"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (MCL 400.111b(14))","5. Schedule of Charges and Agreement","6. Billing, Deposits and Payment","7. Changes to Charges","8. Cancellation by the Client","9. Medicaid Clients","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"mi-hca","state":"Michigan","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}}