Medicaid Copay

Published on May 2016 | Categories: Documents | Downloads: 35 | Comments: 0 | Views: 243
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Pediatric Physical Therapy Clinical Guidelines
Information source: http://ovha.vermont.gov/for-providers/therapy-guidelines.pdf

Vermont Medicaid and Insurance Companies supports therapists in empowering children and families reach goals of independence and self-reliance. They do not support practices and practice patterns which result in chronic dependence on professional practitioners. It is vital that family and/or caretakers participate in every treatment session allowing for follow through with their program. Family and care takers can be taught therapy concepts and techniques and become competent and confident in following through with the techniques into their everyday routines. As caregiver competence and confidence increases, the need for high-intensity professional level services will gradually decrease over time to a level that provides for programmatic upgrades and ongoing family education. A decrease in services demonstrates that the program has successfully helped the child and family reach a greater level of independence and self-reliance. The Kids RehabGYM offers a variety of memberships to allow families to become more independent with their child’s care and use their insurance plans to update therapy programs and/or equipment needs as they arise. Families always have the right to discuss their case with Sue Mason (Physical Therapist at OVAH) who can be reached at 802-878-5903 or [email protected] Child’s Name_________________________________________ Parent’s Signature_____________________________________ Date:_______________ Therapist Signature_____________________________________ Date:________________

Medicaid Co-Pay Agreement
Medicaid will not pay for co-pays when a primary insurance company pays more than what Medicaid would pay for the same service. ONLY if the insurance pays LOWER than Medicaid, would they contribute. Medicaid being the lowest payer known to healthcare, they will not be paying your co-pay/co-insurance which is part of the total primary insurance payment .Insurance companies require in our contract with them, to collect co-pays/co-insurance. If further understanding is needed, please call Medicaid or feel free to call Sharon @876-6000.

I, _____________________________________ parent of,______________ ___________________ agree to pay the co-pay required by my primary insurance at the time of service. Signature:_________________________________________________________ Date:_________________

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