{"ref":"MO-HC-BUS-03","title":"Copayments, Contributions, and Private-Pay Services","category":"Business","summary":"Covers money participants may pay: the monthly copayment DSDS sets for some non-Medicaid participants, voluntary contributions that never affect service and that only DSDS may authorize spending, the rule that MO HealthNet participants are never charged for covered services, and written agreements and rate sheets for private-pay services.","inShort":["Some participants pay a monthly copayment set by DSDS. The office collects it, not you.","Non-Medicaid participants may give a voluntary contribution. Services never depend on it.","Never ask a participant for money, and never accept money, gifts or tips.","If a participant insists on handing you a payment, give a receipt, do not open it, and bring it to the office the same day.","Private-pay services always have a signed agreement and rate sheet."],"primaryCitation":"19 CSR 15-7.021(18)(R)","citations":["19 CSR 15-7.021(18)(R)","19 CSR 15-7.021(18)(S)","19 CSR 15-7.021(18)(I)5, 9","19 CSR 15-7.021(18)(K)","13 CSR 70-3.030(3)(A)3","13 CSR 70-3.030(3)(A)4","13 CSR 70-91.010(4)(B)4","MO HealthNet Personal Care Provider Manual §2.1"],"federalCitations":[],"surveyorAsks":["Which of your participants owe a copayment, and how did you collect it last month?","Show me your monthly contributor report to the regional manager."],"forms":[{"ref":"MO-HC-BUS-03-A","title":"Copayment and Contribution Receipt"},{"ref":"MO-HC-BUS-03-B","title":"Private-Pay Service Agreement and Rate Sheet"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (19 CSR 15-7.021(18)(R) and (S))","5. Copayments","6. Voluntary Contributions","7. MO HealthNet Participants","8. Private-Pay Services","9. Handling Money","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":"mo-hca","state":"Missouri","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}}