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medicaid eligibility and patient liability determinations - Kymmis.com

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PATIENT LIABILITY DETERMINATIONS<br />

The original first month of <strong>eligibility</strong> PL is generally zero, this is<br />

because the first month has generally lapsed before the<br />

notification is generated alerting the member of their<br />

responsibility. However, individuals spending down with<br />

private pay dates will have a PL in the month of approval.<br />

If the <strong>eligibility</strong> process extends beyond 30 days, providers<br />

may choose to counsel with their <strong>patient</strong>s to reserve an<br />

estimated portion of their in<strong>com</strong>e to cover the cost of care.

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