Third Party Payments
As you learned earlier in this module, an estimated amount for the portion of an allowable medical expense for which the client is responsible can be used when a third party payment is expected. You must adjust the amount of a medical expense used as a deduction, if needed, once verification of the actual third party payment is received.
The client is notified to verify the third party payment when sent the Reported Medical Expenses Notice of Action (DHS-6059C) (PDF). You must follow-up with the client at each renewal to determine if a third party payment has been made on a medical expense for which a deduction was allowed. Once a payment amount is verified, you must review the medical expense deduction for possible changes.
To Do: Review the steps to follow when an estimated amount was used as a deduction on the handout, Actual Third Party Payments and the Medical Expense Deduction (PDF).
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The MA-LTC Medical Expense Deduction - Case Maintenance