048.0037.51.9

Ch. 51, § 9. Cost Sharing Maximums

Last amended: 2024Length: 82 wordsOfficial source

Cite as Medicaid Rules, Ch. 51, § 9

(a) Cost sharing shall not exceed five percent (5%) of a family's gross household income for the length of the client's eligibility period. Each family shall be notified of their cost sharing maximum for the eligibility period. (b) Clients may request Department review of cost sharing totals if they believe their maximum has been reached. (c) If the Department determines the family has paid more than their five percent (5%) annual cost sharing maximum the family shall be reimbursed for the excess.
048.0037.51.9: Ch. 51, § 9. Cost Sharing Maximums | Justis AI