{"ref":"PA-HC-BUS-01","title":"Fees, Billing, and Consumer Payments","category":"Business","summary":"Requires the Agency to tell each consumer in writing, before services start, the fees and total costs on an hourly or weekly basis, to bill only for services actually delivered as documented, never to require a consumer to endorse checks to the Agency, and to follow Medical Assistance billing rules for waiver participants.","inShort":["Before care starts, every consumer gets our fees and total weekly cost in writing.","Never take cash, gifts, or checks from a consumer, and never ask a consumer to sign a check over to the Agency or to you.","Record your visit start and end times accurately. We only bill for care you actually gave.","Send any question about a bill to the office at (717) 555-0100."],"primaryCitation":"28 Pa. Code §611.57(c)(3)","citations":["28 Pa. Code §611.57(c)(3)","28 Pa. Code §611.57(b)","28 Pa. Code §611.57(a)(2)","35 P.S. §448.806b(b)","35 P.S. §448.806c(b)(3)","35 P.S. §448.806c(b)(9)","55 Pa. Code §52.14(m)","55 Pa. Code §52.14(n)","55 Pa. Code §52.41","55 Pa. Code §52.42","55 Pa. Code §1101.75"],"federalCitations":[],"surveyorAsks":["Show me the fee and total cost information this consumer received before services started.","How do you notify a consumer of a rate increase?"],"forms":[{"ref":"PA-HC-BUS-01-A","title":"Fee Schedule and Estimate of Costs"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (28 Pa. Code §611.57(c)(3))","5. Fee Disclosure and Rate Changes","6. Invoices and Payments","7. Medical Assistance and Other Payers","8. Responsibilities","9. Records and Compliance Monitoring","10. Staff Training","11. References","12. Related Policies and Forms","13. Approval","14. Revision History"],"version":"1.0","sample":false,"pack":"pa-hca","state":"Pennsylvania","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}}