Can the Aging Network implement private pay services?
Private pay services can create opportunities to reach a segment of the population not traditionally served by the network, however; such activities are optional for States, Area Agencies and service providers. In general, private payment for services occurs when individuals pay the full cost of the services they receive. Because there is no public funding involved, private pay services are not subject to the ‘cost sharing’ provisions under the Older Americans Act (OAA, Sec. 315(a)). Note: Private pay services to individuals and caregivers are also distinct from establishing “Private Pay Relationships” with profit-making organizations and are therefore not subject to Sec. 212(a) of the OAA.
Related Questions
- Can a healthcare provider be reimbursed for indirect services? Do Medicare, Medicaid, or private insurance pay for indirect services?
- If a provider is added to the network after a member receives services, will ODS reprocess the claim to pay the in-network level?
- Can the Aging Network implement private pay services?
