Changing Providers

Official source

Managing the copay Families shall pay their monthly co-payment to the provider that is approved on the first day of the month. Consequently, if a family changes provider any time after the first day of the month, the first provider shall collect the whole monthly copayment. If charges for care are less than the monthly copayment, the provider shall collect the smaller of the two amounts. The new provider will not collect a copayment until the first of the following month. Example A: A family's monthly co-payment is $100.00. Provider A is the current provider and charges $25.00 a day. If the last day of care at Provider A is June 2, the parent will pay Provider A $50.00 ($25.00 x 2 days of care). The charges for care used are less than the monthly co-payment. The new provider will not collect a co-payment during the month of the change but will begin collecting $100 on July 1. Example B: A family's monthly co-payment is $100.00. Provider A is the current provider and charges $25.00 a day. If the last day of care with Provider A falls on July 10, the family will pay their full monthly co-pay to Provider A and will pay nothing to the new provider for July (the month of the change). On August 1 the new provider should collect $100.

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Changing Providers

Official source

Managing the copay Families shall pay their monthly co-payment to the provider that is approved on the first day of the month. Consequently, if a family changes provider any time after the first day of the month, the first provider shall collect the whole monthly copayment. If charges for care are less than the monthly copayment, the provider shall collect the smaller of the two amounts. The new provider will not collect a copayment until the first of the following month. Example A: A family's monthly co-payment is $100.00. Provider A is the current provider and charges $25.00 a day. If the last day of care at Provider A is June 2, the parent will pay Provider A $50.00 ($25.00 x 2 days of care). The charges for care used are less than the monthly co-payment. The new provider will not collect a co-payment during the month of the change but will begin collecting $100 on July 1. Example B: A family's monthly co-payment is $100.00. Provider A is the current provider and charges $25.00 a day. If the last day of care with Provider A falls on July 10, the family will pay their full monthly co-pay to Provider A and will pay nothing to the new provider for July (the month of the change). On August 1 the new provider should collect $100.