Family Co-Payment

Use this procedure to record the family co-payment information for a family.

Process Steps:

The Family Co-Pay Summary page displays.

Only workers with override security rights can edit the family co-payment. The family co-payment amount and the sum of authorization co-payment amounts must be equal. The family co-payment amount is generated by the VaCMS during eligibility determination. The VaCMS adds a task and reminder to the assigned worker’s VaCMS homepage overnight if the sum of the authorization co-payments does not match the family co-payment. If the family co-payment amount changes when a new eligibility result is certified, update the authorization co-payments to total the new family co-payment amount.

1. Review the information in the three sections: Family Co-Pay Summary, Authorization Co-Payment Assessment, and Co-Pay / Fees Delinquency.

2. Click the edit icon next to the family co-payment.

   • The Family Co-Pay Detail page displays.

3. Enter the Effective Date for the co-payment amount (required).

The effective date of a family co-payment amount must always be the first of the month.

4. Enter the Expected Co-Payment amount for the family (required).

5. Select an appropriate Override Reason from the dropdown menu.

5. Use the family co-payment override to enter family co-payment amounts for cases converted from VACIS only. In all other instances, the VaCMS determines the family co-payment amount. When the family co-payment amount is changed, the Override Reason field is required.

6. Click Save+ Continue.

   • The Family Co-Pay Summary page displays.

   • Proceed to Authorization Co-payment Assessment Detail.

Results of the Procedure:

The family co-payment information is recorded.

Updated 05/02/2014