Individuals who reside in homes operated by Home and Community Options, Inc. are responsible to make payments for their cost-of-care as required by state and federal regulations. These fees are based on room and board costs and other program related costs, including services and supplies. Each individual’s ability to pay is determined according to the applicable government program. Any cost that cannot be met by the individual will be provided through the various funding sources that may be used by Home and Community Options, Inc. and for which the individual may be eligible. Eligibility is determined prior to admission to the program. Individuals, guardians and/or their families are informed regarding the cost-of-care fees at the time of admission. Arrangements for full monthly payment of fees are made at admission and reviewed annually with the completion of the service plan or money management agreement. If a money management agreement plan is not required as a part of the individual’s service plan, the agreement regarding full monthly payment of fees will be established separately. Individuals whose resources exceed the eligibility for governmental programs will be required to pay the entire cost-of-care and service fees on a private pay basis. Private pay rates are the same as rates established for government funding.
A monthly invoice will be sent out by Home and Community Options, Inc. to all non-Home and Community Options, Inc. rep. payees indicating fees due. All payment of fees shall be made in full in the month they are due. The office of Social Security has advised Home and Community Options, Inc. to make the office of Social Security aware of any non-payment as soon as a lapse has occurred. In the event of a late payment, arrangements must be made between Home and Community Options, Inc. and the individual, and Social Security may be contacted.
Client’s are responsible for paying for their own personal needs items such as:
- Grooming supplies;
- Snack food in addition to that which is provided in the home;
- Meals the client chooses to eat out when a meal is provided in the home;
- Recreation and activity expenses;
- Transportation to work or day services programs.
- Expanded cable
- Medications and pharmaceutical supplies
The cost-of-care fees cover the following expenses:
- Rent and utilities;
- *All meals and snacks as provided;
- Bedding and linens;
- Basic furnishings;
- Basic cable and internet
- Laundry facilities;
- Local telephone;
- Housekeeping and maintenance of the facility;
- Transportation to medical appointments and community services;
- Support services as required in the individual service plan.
* Eating Out Experiences:
- Three meals per day will be provided to individuals in residential programs licensed as foster care or supported living services.
- Meals out for planned outings or program experiences are paid by agency for individuals and staff.
- Budget guideline for meals out is $10 for Breakfast, $12 for Lunch and $15 for Supper. Staff should tip at a rate of 15 percent as an additional cost to the meal budget guidelines.
- Exceptions to the budget guideline can be made with supervisor approval.
- Clients who choose to eat out and not participate in meals offered in the home will be responsible for the meal costs. If supervision is needed, the staff’s meal cost will be paid by the agency
Established: April 2010