Rule 82-7-1-.08 - Requirements for Procedures to Determine and Allocate Cost of Care(1) The Department shall establish: (a) A method for determining cost of care;(b) A method for assessing the portion of cost of care owed by each individual;(c) A method for determining other persons liable for cost of care for each individual;(d) A method for notifying each individual (including any representative of that individual designated in accordance with GA COMP. R. & REGS § 82-5-1.07(2)) and/or persons liable for cost of care of the responsibility for assisting the Department in assessing cost of care, the assessment of the individual's cost of care, and the right to contest and appeal the assessment of the cost of care for which that person is liable.(2) The Department's procedures shall meet the following requirements: (a) The procedures shall comply with the Patient Cost of Care Act, O.C.G.A. Title 37, Chapter 9.(b) The procedures shall ensure each individual receives appropriate care and treatment regardless of any issue related to cost of care.(c) The procedures shall ensure that each assessment of an individual's responsibility for cost of care will be based upon:1. a determination that each individual has exhausted his or her eligibility and receipt of benefits under all other existing or future private, public, local, state, or federal programs or plans and;2. upon a process by which the Department assesses and recovers the cost of an individual's care from the individual and from or any other persons or entities who may be liable for such patient's cost of care if such patient is eligible for benefits under any other program or plan.Ga. Comp. R. & Regs. R. 82-7-1-.08
O.C.G.A. § 37-9-1, et seq.
Original Rule entitled "Requirements for Procedures to Determine and Allocate Cost of Care" adopted. F. Dec. 15, 2021; eff. Jan. 4, 2022.