{"ref":"OH-HC-BUS-01","title":"Charges, Billing, and Client Payments","category":"Business","summary":"Sets how the Agency tells private-pay clients its charges in writing before services begin, bills and collects fairly, handles cancellations, refunds and overpayments, and bills Medicaid programs only for authorized, verified services actually provided, accepting Medicaid payment as payment in full.","inShort":["Clients get our rates in writing before services start.","Never take money, tips or payments from a client. If a client hands you a payment for the Agency, give a receipt and bring it to the office the same day.","Medicaid clients are never billed for services Medicaid covers.","Bills come only from accurate visit records. Record your time in and out truthfully.","If a client asks about a bill, refer them to the office. Do not discuss bills during care."],"primaryCitation":"OAC 5160-1-17.2(A) to (C)","citations":["OAC 5160-1-17.2(A) to (D)","OAC 173-39-02(B)(10)(a)(i), (B)(11)","OAC 173-39-04(H)(5)","OAC 5160-44-31(B)(15), (D)(4) to (6)","ORC 2913.40"],"federalCitations":["42 U.S.C. §1320a-7k(d)"],"surveyorAsks":["How does a private-pay client learn your rates and payment terms before services start?","Do you ever bill a Medicaid client, or the client's family, for a covered service?"],"forms":[{"ref":"OH-HC-BUS-01-A","title":"Statement of Charges and Payment Agreement"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (OAC 5160-1-17.2(A) to (C))","5. Private-Pay Charges","6. Invoices, Payments and Receipts","7. Cancellations and Missed Visits","8. Billing Medicaid Programs","9. Errors, Overpayments and Refunds","10. Collections","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":"oh-hca","state":"Ohio","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}}