Pennsylvania Code (Last Updated: April 5, 2016) |
Title 55. PUBLIC WELFARE |
PART VI. Mental Health/Intellectual Disability/Autism Manual |
Subpart C. Administration and Fiscal Management |
Chapter 4310. Client LiabilityState MH/MR Facilities |
Section 4310.5. Sequential order of payors and persons liable for costs of service
Latest version.
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(a) The sequential order of payors responsible for the costs of service is:
(1) Medicare.
(2) Third-party insurance.
(3) Client/LLR.
(4) MA.
(b) The sequential order of persons liable for costs of service is:
(1) The client, based on income and/or assets.
(2) The clients spouse, for 120 days of continuous inpatient hospitalization, based on income.
(3) The clients parents, if the client is under the age of 18 and not eligible for SSI, based on income.
The provisions of this § 4310.5 adopted December 3, 1982, effective December 4, 1982, 12 Pa.B. 4149.