Private Pay Services: Charges, Billing, and Cancellation
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.
About this policy
- Policy number
- MI-HC-BUS-04
- Version
- 1.0
- Main rule
- MCL 400.111b(14)
- Library
- Michigan home care · 50 policies
- Category
- Business
- Sections
- 17
In short
- 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.
What's inside
17 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- 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.
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