DISCOUNTED RATES:

DISCOUNTED RATES: A. In determining the discounted rate, the program may require submission of proof of income amounts claimed (W-2, pay check stub, etc.). The program may require such documentation when granting discounts above the percentage discount, but is not required to do so B. Even where a discounted rate is determined, billings may still indicate the full private pay rate with the discount shown separately. The purpose of this provision is to ensure that, in the event of an estate settlement, the full interest of the state in collecting from such estate shall be preserved. C. The discounted rate shall apply only to private pay amounts. Amounts due from third party insurers, including Medicare and Medicaid, shall not be discounted using this policy but may be discounted below the full private pay rate in the case of participation agreements with such third parties. In cases where the third party payment is deemed payment in full, the remaining balance shall not be billed to the patient. In cases where the third party payment is not deemed payment in full, the remaining balance may be discounted. D. The discounted rate calculated under this policy will not be applied to nursing home admissions. Private pay rates for nursing home residents will be determined by the program based on each resident’s ability to pay and giving due consideration to requirements of third party payers.