Often the GLA provides medical services. The GLA may bill the resident for some, but not all, of the services. The GLA facility operator must provide a written statement of the medical services it charges the resident.

The GLA is the correct source of verification of the costs of attendant care that the GLA provides. If an agency other than the GLA provides the attendant care the agency providing the service is the source of verification.

Some GLAs keep an accounting of medical expenses that it pays on behalf of the resident. The case manager can use this information to determine medical expenses, unless it is questionable. If the GLA does not keep an accounting of the medical bills the case manager must get verification directly from the provider. For example, the customer has to go to the doctor every month, the case manager must verify the charge for the doctor visits with a bill or statement from the doctor’s office.

109.26 Use of SNAP Allotment