From financial and payment questions to privacy inquiries, you will find clear answers to our most commonly asked questions below.
Our Frequently Asked Questions
You may be required to pay for services you, your spouse, or your minor child receive. However, you may not have to pay if you have Medicaid coverage.
The amount depends on your financial situation and what you can afford while still meeting necessary living expenses.
We first consider any insurance benefits you may have:
- Some insurance plans pay the full cost of services
- Medicaid covers the full cost for many mental health services
- You will never pay more than the actual cost of services
There are three ways we determine your payment amount:
Income Chart Method
For the following services, we use an income chart based on your state taxable income:
- Adult psychiatric hospital and crisis residential services (less than 61 days)
- All adult outpatient services
- Any services provided to your minor child
Total Financial Assessment
For all other services, we review your complete financial situation by:
- Adding all income sources
- Adding the value of assets, such as property and bank accounts
- Subtracting necessary living expenses, including:
- Personal debts
- Food, clothing, and shelter
- Medical expenses
- Taxes and insurance
- Transportation
- Child support
- Education costs
Medicaid Coverage
If you have Medicaid, you will likely not have to pay anything.
Yes. Under certain conditions:
- You are responsible for payment for up to 730 days of hospital or residential services for your spouse. After 730 days, only your spouse can be charged.
- You will not pay for more than a combined total of 18 years of services for two or more of your minor children.
- Provide complete and accurate financial information
- Share information about any health insurance coverage and bring your insurance card
- Pay the determined amount, which will be the lowest of:
- Your co-insurance and/or deductible
- The full cost of services
- Your ability to pay
Yes. You may request a new determination if:
- Your financial situation changes
- You are unable to make payments
We are also required by law to review and adjust payment amounts annually if services continue.
You have several options:
- Request a review of your determination
- Discuss payment difficulties with our reimbursement specialist
- Contact Customer Service at (231) 689-7330
If you are not currently a Medicaid beneficiary and receive an Adverse Benefit Determination, you have the right to request a local appeal.
To file an appeal:
- Submit your request in writing within 30 days of receiving the determination
- Send your appeal to Newaygo County Mental Health
- Contact Customer Service at (231) 689-7330 for assistance
Yes. All financial information is kept confidential. You may be asked to sign a form allowing information to be shared with your insurance provider for billing purposes.
You can contact us at (231) 689-7330 or 1 (800) 968-7330.