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Share of Cost (SOC) is the dollar amount a member must contribute toward the cost of their care and most typically applies to MCLTC members residing in Skilled Nursing Facilities (SNF), however it may also apply to DD members. The amount of the SOC is determined by AHCCCS.
- For MCLTC, the member is notified of this amount and the SOC is paid to the facility by either the member or their representative, regardless of payment received from other payors or insurance. For claims payment, Mercy Care reduces our claims payment by the SOC supplied by AHCCCS.
- For DD, members are required to contribute toward the cost of their care based on their income and type of placement. Some members, either because of their limited income or the methodology used to determine the SOC, have a SOC in the amount of $0.00. Generally, only institutionalized members have a SOC. For members receiving Nursing Facility (NF) services, collection of the member SOC shall remain the responsibility of the Division.
As always, don't hesitate to contact your Mercy Care Network Management Representative with any questions or comments. You can find this Notice and all other provider notices on our Mercy Care website.
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