Charges, Billing, and Client Payments
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.
About this policy
- Policy number
- OH-HC-BUS-01
- Version
- 1.0
- Main rule
- OAC 5160-1-17.2(A) to (C)
- Library
- Ohio home care · 49 policies
- Category
- Business
- Sections
- 18
In short
- 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.
What's inside
18 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- 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?
See Cura Core with your agency's name on it.
Choose your state and type of agency, buy your Policy Pack online and get your sign-in by email. Already a customer? Sign in to your portal.