Pennsylvania Code
Title 55 - HUMAN SERVICES
Part VI - Mental Health/Intellectual Disability/Autism Manual
Subpart C - Administration and Fiscal Management
Chapter 4310 - CLIENT LIABILITY-STATE MH/ID FACILITIES
BILLING AND COLLECTION
Section 4310.15 - Collections
Universal Citation: 55 PA Code ยง 4310.15
Current through Register Vol. 54, No. 44, November 2, 2024
If a third-party payment is received, the LLR/client is liable for that portion of the charges not covered by the payment up to their maximum liability. When a third-party payor makes direct payment to a LLR/client, the amount paid by the insurance company is payable to the provider in full in addition to the liability assessment against the client/LLR except when the imposition of client/LLR liability would exceed the monthly per diem rate for the facility.
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