Behavioral Health - Financial Determination/Cost Share

Financial Determination/Cost Share

Under Wisconsin Statues any client, the spouse of a married client, or the parents of a minor client are responsible to pay the full cost of counseling (if a minor seeks services under the Wisconsin Statues Chapter 51.47 for alcohol or drug treatment without parental authority, the minor will be assessed for payment).

  1. A person in need of counseling who has insurance benefits, Medicare, or medical assistance should inform the service provider of those benefits and permit the provider to bill to this source. If the person does not have any benefits, but has income to cover the cost of services, that person will be billed directly by the service provider.
  2. If a person does not have the ability to pay for counseling expenses, and is a Rusk County resident, he/she may apply for financial assistance from Rusk County Department of Health and Human Services. This financial program is a privilege offered by Rusk County and the customer is expected by Wisconsin Law to make payments based on ability.
  3. The Clerk in Behavioral Health Services at Rusk County Health and Human Services will review proof of residence, health insurance, income and assets to determine ability to pay for counseling services. The customer will sign a financial agreement authorizing release of information and understanding of the agreement.
  4. Rusk County Human Services will pay the counseling expense and will bill the customer for the determined part of the cost.

    5.  
     

    TYPE OF SERVICE

    CLIENT PAYS

    RUSK COUNTY PAYS

    AODA Inpatient

    		 Entire amount reimbursed by Rusk County at contracted rate Initial balance due at contracted rate-then collects amount paid from client.

    MH Inpatient

    		 Entire amount reimbursed
    by Rusk County at
    contracted rate    		 Initial balance due at contracted rate-then collects amount paid from client
    AODA Outpatient **Co-pay as financially determined. Contracted amount
    MH Outpatient **Co-pay as financially determined Contracted amount
    AODA Residential Cost share determined Difference between contracted rate and client cost share
    MH Residential Cost share determined Difference between contracted rate and client cost share
    Medications Entire amount reimbursed by Rusk County Initial balance due then collect amount paid from the client.
    Inpatient
    Physician charges-psych    		 Entire amount reimbursed by Rusk County. Initial balance due then collects amount paid from client.
    Physician charges-ER Entire amount due None
    Transportation **Co-pay as financially determined Total balance due
    Psychological testing **Co-pay as financially determined Total balance due
    OWI Assessment Entire amount due None
    Court ordered assessments Entire amount due None

    ** Co-pay the lowest amount on the co-pay scale is $5 per unit of service with a maximum of $25 per month. If the determined co-pay is more than $5, the client pays the co-pay amount for the first unit of service per month and Rusk County pays the remaining monthly balance.

For more information call 1-800-535-RUSK or email us at  info@ruskcounty.org
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