Article 6 Section 05 Share of Cost (SOC) for CMS

Hardship Beneficiaries

 

Table of Contents

 

Title

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General

06.05.01A

 

 

 

06.05.01 Share of Cost (SOC)

 

06.05.01A
General

Beneficiaries receiving CMS benefits under the CMS Hardship eligibility category may be required to pay a portion of their medical and pharmacy expenses for the CMS covered services received.

 

Share of Cost (SOC) is the amount that the CMS beneficiary must pay or is obligated to pay each month toward the cost of covered health care services.  In any month CMS services are received, the beneficiary will be billed by the County for the SOC or the amount of CMS services, whichever is less.  Beneficiaries will not be billed for any months in which they did not receive CMS services.