*** The Health Care Programs Manual (HCPM) has been replaced by the Minnesota Health Care Programs Eligibility Policy Manual (EPM) as of June 1, 2016. Please refer to the EPM for current health care program policy information. ***
Effective: July 1, 2008 |
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16.20.05 - Refer to DHS for Parental Fee |
Archived: June 1, 2016 (Previous Versions) |
Refer Medical Assistance (MA) cases to the Department of Human Services (DHS) for collection of a parental fee when a case meets the criteria noted below.
Children in Regional Treatment Centers.
Role of Worker in Referral Process.
Refer cases to DHS for a parental fee when parental income is not counted in determining MA eligibility for children living with their parents. This includes:
l Children eligible under the TEFRA option.
l Children who receive services under one or more of the following waiver programs:
n Community Alternatives for Chronically Ill Individuals (CAC).
n Community Alternatives for Disabled Individuals (CADI).
n Developmental Disabilities (DD).
Refer cases to DHS for a parental fee when an MA-eligible child is in a 24-hour care facility outside the home with a diagnosis of a developmental disability, severe emotional disturbance, or a physical disability. Examples of facilities where DHS collects the fees include ICF/DDs and Rule Five facilities.
Note: DHS assesses and collects fees for these disabled children if MA is open, regardless of whether MA pays for the cost of care.
When DHS collects the fees for a disabled child in out-of-home placement for whom the county also pays placement costs from social services funds, the county may not charge an additional fee. At the end of each fiscal year:
l DHS sends a report to all counties identifying children for whom DHS is assessing a parental fee.
l Each county reports the amount of social services funds paid on behalf of the children listed.
l The county must deduct any money it has retained to reduce social services costs, such as RSDI, child support, or other forms of payment, from the total expenditures.
l DHS will reimburse the county for its unrecovered expenditures up to the amount DHS has collected from the parents.
Children in Regional Treatment Centers
Refer cases to DHS for disabled children who are in a Regional Treatment Center (RTC) if MA pays for the cost of care. DHS will assess and collect the parental fees for these children.
If a child in an RTC is not disabled or MA does not pay for the cost of care in the RTC, refer income information to the RTC. The RTC will determine the responsible relative's reimbursement amount. For minor children in an RTC, parents can be billed for up to 10% of the per diem rate.
Role of Worker in Referral Process
To refer cases to DHS for collection of parental fees:
l Give a copy of the Important Notice and Parental Fee Worksheet (DHS-2977) to all parents of children for whom DHS will collect fees.
n Explain to parents that their liability for parental fees begins with the first month in which MA is effective or waiver services are received.
Note: Parents may be liable for fees through the month of the child's 18th birthday.
n Enter the proper eligibility type on MMIS to enable DHS to bill and collect a parental fee. Notify DHS any time an eligibility change is made.
n Within ten days of approving MA, send a completed County Parental Fee Referral to DHS form (DHS-2982) to the address noted on the form.