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Copayments, Contributions, and Private-Pay Services

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.

Preview: full text with a package
About this policy
Policy number
MO-HC-BUS-03
Version
1.0
Main rule
19 CSR 15-7.021(18)(R)
Library
Missouri home care · 50 policies
Category
Business
Sections
17

In short

  • 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.

What's inside

17 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • 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

An inspector may ask

  • 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.

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