Patient Pay Amount Sample Clauses

Patient Pay Amount. (PPA) - When an Enrollee’s income exceeds an allowable amount, he or she must contribute toward the cost of Medicaid covered Nursing Facility Care to maintain Medicaid eligibility. This contribution, known as the Patient Pay Amount (PPA), is determined by the local Michigan Department of Health and Human Services.

Patient Pay Amount. For residents approved for Medicaid benefits, the Facility will accept payment from the Commonwealth of Pennsylvania and, if applicable, the Resident’s Patient Pay Amount as determined by DHS as payment in full only for those services covered by the Medicaid program. Resident remains obligated to pay such Patient Pay Amount, less any qualified medical expense deductions, on a monthly basis. Services not covered by Medicaid are identified in the Rate Schedule and Resident remains obligated to pay for such services. In the event Resident applies for Medical Assistance benefits, Resident or Responsible Person, to the extent permitted by law, shall arrange for assignment to the Facility of any payment on behalf of Resident in an amount equivalent to the Patient Pay Amount as determined by DHS.

Patient Pay Amount. 5.4.1 For residents approved for Medicaid benefits, the Commonwealth of Pennsylvania will pay Facility for the care provided to Resident. However, to the extent the Resident has income (e.g., Social Security and/or a pension), the Commonwealth of Pennsylvania requires Resident to contribute towards the cost of his/her skilled nursing care. The Resident’s contribution is called the Patient Pay Amount. The Patient Pay Amount is determined by the County Assistance Office. 5.4.2 Upon application for Medicaid, Resident and Responsible Party shall pay the Facility the estimated Patient Pay Amount from the Resident’s income.