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Elizabeth M. Whitehorn, Director

Provider Notice issued 02/14/14

Participant Liability and Co-payments Frequently Asked Questions

To:​ Participating Physicians, Chiropractors, Podiatrists, Optometrists, Advance Practice Nurses, Federally Qualified Health Center (FQHC), Encounter Rate Clinic (ERC), Rural Health Clinic (RHC), Hospitals and Pharmacies​
​Date: ​February 14, 2014
​Re: Participant Liability and Co-payments Frequently Asked Questions​

The purpose of this notice is to provide questions and answers regarding participant liability and copayments. Please refer to the Frequently Asked Questions (FAQs) (pdf) regarding when a participant is responsible to pay for services and co-payments.

The Department of Healthcare and Family Services (HFS) provided guidance on copayments in a Provider Informational Notice dated March 29, 2013, titled Cost Sharing Effective April 1, 2013.

Questions regarding this notice may be directed to the Bureau of Professional and Ancillary Services at 1-877-782-5565.

Theresa A. Eagleson, Administrator

Division of Medical Programs