How to Select the Financial Class Is it Medicaid or Medicare? Effective 10/2014

Selecting a Financial Class Typically the financial class will be self explanatory. However there will be times when you will need additional help determining which financial class to pick. The next few slides should help. NOTE: White shapes indicate the financial class you should pick.

Go to next slide Selecting a Financial Class Is this a MH or SA evaluation? MH Is the client covered by a third-party Payer? SA SA = Provider to pay most cost Yes No Is the client covered by Medicaid? Yes MH = Medicaid SA = Medicaid No

Selecting a Financial Class Is the client covered by DORA? SA = Other public resources Is the client covered by Drug Court? SA = Other public resources Is the client covered by the Women’s General Fund? Go to next slide Yes No SA = Other public resources Yes No

Selecting a Financial Class Is the client covered by the Female Meth Grant? SA = Other public resources Is the client covered by some sort of grant from the state or Crime Victims? (not including the State Special Fund) Go to next slide Yes No MH = Other public resources Yes No

Selecting a Financial Class Is the client covered by Medicare? MH = Medicare SA = Medicare Is the client only covered by a service contract such as Head Start or the School Based Groups? MH = Service contract Yes No Go to next slide

Selecting a Financial Class MH or SA Commercial Health Insurance CHAMPUS Veteran’s Administration Workers Compensation Is the client covered by a commercial insurance? No Yes Go to next slide

Selecting a Financial Class Is the client’s self-pay amount $45 or less? Provider to pay most cost Other personal resources NoYes