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Medicaid Policy Payment Terms

Professional Medicaid Policy Payment Terms template for Adult Family Homes. Includes editable Word (.docx) and printable PDF formats.

DOCUMENT INSPECTION PREVIEW
Medicaid Policy Payment Terms.docx — Protected PreviewMICROSOFT WORD TEMPLATE

[YOUR ADULT FAMILY HOME NAME HERE]

Medicaid Policy Payment Terms

TEMPLATE • Inspection-Ready AFH Standard

1. Private-Pay to Medicaid Spend-Down Disclosure

This agreement is entered into on this _____ day of ____________, 20___, between [ADULT FAMILY HOME NAME] (Provider) and [RESIDENT / POA NAME].

2. State Medicaid Rate Terms & Copay Obligations

FINANCIAL TERMS

Base Rate & Payment Schedule: Resident agrees to pay Provider a monthly base fee of $______ payable in advance on the first (1st) day of each calendar month.

LATE FEE:$____ after 5th of month
REFUND TERMS:Pro-rated 30-day notice

3. Room Retention & Spend-Down Timeline

Provider Signature / Date

Resident / POA Signature / Date

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Document Section Breakdown (4 Sections)

1

Private-Pay to Medicaid Spend-Down Disclosure

Required private-pay duration policy prior to accepting Medicaid contract rates.

2

State Medicaid Rate Terms & Copay Obligations

State daily rate breakdown, resident participation copay obligations, and billing dates.

3

Room Retention & Spend-Down Timeline

Notice requirements for Medicaid transition, room retention rights, and bed hold terms.

4

Provider & Guarantor Acknowledgment Signatures

Legal sign-off agreeing to Medicaid conversion criteria and financial disclosures.

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Microsoft Word (.docx) & PDF formats
Formatted for organized recordkeeping
Single home license with unlimited internal use
Tags:
#Operations#Financial#Medicaid