Fees, Billing, and Consumer Payments
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.
About this policy
- Policy number
- PA-HC-BUS-01
- Version
- 1.0
- Main rule
- 28 Pa. Code §611.57(c)(3)
- Library
- Pennsylvania home care · 49 policies
- Category
- Business
- Sections
- 15
In short
- 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.
What's inside
15 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- Show me the fee and total cost information this consumer received before services started.
- How do you notify a consumer of a rate increase?
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