Children's Long Term Inpatient
Program
for Washington State (CLIP)
Paying for CLIP
Frequently Asked Questions concerning the cost and payment for CLIP
treatment.
Q. Is my child eligible for Medicaid?/How does Medicaid pay
concerning long-term inpatient treatment?
A. If a child was eligible for Medicaid prior to their
admission, they will
continue to be eligible for Medicaid during their CLIP treatment
time,
regardless of the family's income because of this "categorical need" and
that their eligibility is determined based on the child's income and need
for
longer-term inpatient treatment.
If a child was not eligible for Medicaid prior to their
CLIP treatment time,
they will be eligible now due to this "categorical need".
Eligibility is
determined based on the child's income and need for longer-term
treatment.
Q. What do I have to pay for my child's care at a Children's
Long-term
Inpatient Treatment Program (CLIP)?
A. Most families do not have to pay anything
towards their child's cost of
CLIP care,
but
there are exceptions.
Q. How do I know if we have something to pay?
A. There are a few different reasons why
your child may be required to
pay part of the cost of their CLIP care. United
State's law requires our
state to review money of income that is in a child's
name. Income
includes:
-
Supplemental Security Income
(SSI) payments in the child's name
-
Social Security
Disability Survivor Benefits in the child's name
- Child support payments
-
The child's portion of a
parent's Social Security Disability Claim -
this is called a dependent
child benefit.
-
Trust funds or
other investments that are in the child's name
The CLIP Program may bill a parent/guardian's private insurance. Please ask
the admission counselor about this clause and if it applies to you and your
family.
Q. Why does the child's money count?
A. CLIP treatment is very costly. The average monthly
charge ranges from
$14,000 to $25,000. Most youth stay in
treatment for at least six months.
Very few families can afford this level of
treatment. National Medicaid
rules allow children to be eligible for
Medicaid due to their need for
longer-term inpatient psychiatric treatment.
Together the federal and
state governments share the total cost of the
your child's treatment
based on his or her eligibility for Medicaid. The
federal government
decided that any income of the child (not
the family) must help to pay
towards this total cost.
All parents or guardians will need to fill
out an application for benefits
for their child. This will happen at admission.
A Department of Social
and Health Services Office (CSO) worker will
review the application. This
review occurs to 1) establish that your child is
now in a long-term
(more than three months) inpatient setting, 2) review any
income in the
child's name, and 3) if there is a child income, determine what the
participation amount will be.
Q. What if I already use the child's income to pay for other
critical
household expenses?
A. We ask you to take a close look at your household
budget and think
about what you can cut in order to follow the
federal rules.
If you would lose you housing or your
child's discharge will be
affected because of this payment, please talk to your
primary contact at
the CLIP program. We may be able to work out a
payments
arrangement or find ways to help with the child's participation
amount.