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How does a Personal Care Home that is Medicaid-certified determine its costs for private pay patients?

April 26, 2017costs determine Home medicaid-certified Patients pay private

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How does a Personal Care Home that is Medicaid-certified determine its costs for private pay patients?

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The private pay rate in any Personal Care Home is determined by the facility and is generally higher than the Medicaid (and Medicare) reimbursement rate. By regulation, the private pay rate cannot be lower than the Medicaid rate.