CPAS coverage¶

When a resident cannot afford their personal share (accommodation and supplements), the CPAS (Public Centre for Social Welfare) of their municipality can cover it, in full or in part. WideCare lets you record this decision on the resident record and route the invoice to the right debtor.

You’ll find these settings in the Invoicing tab of the resident’s contact (the Contact link under their name), and the list of CPAS in Billing → Configuration → CPAS.

What CPAS coverage is for¶

Two notions must be distinguished:

• Record the decision — who the CPAS is, from when, under which reference, for what coverage and what amount. This information documents the case and is tracked in the audit log (financial category).

• Route the invoice — decide who WideCare sends the resident share to: the resident, their family, or the CPAS. This routing is driven by the Billing contact or by maintenance debtors (see below).

1. Declare the CPAS as an organisation¶

Before linking a resident to a CPAS, the CPAS must exist as a contact.

1. Open Billing → Configuration → CPAS.

2. Click New and enter the CPAS name, its city, phone and email.

3. Check that the Is CPAS box, next to the name, is ticked (it is by default from this menu).

4. Save.

2. Enter the coverage on the resident record¶

1. Open the resident’s contact (the Contact link under their name) and the Invoicing tab.

2. In the CPAS Support group, next to Default Payer, tick CPAS Supported.

3. Select the responsible CPAS.

4. Choose the CPAS Coverage: Full Coverage or Partial Coverage.

5. In the CPAS Decision group, fill in the CPAS Decision Date, the CPAS Decision Reference and, for partial coverage, the CPAS Monthly Amount; add CPAS Notes if needed.

3. Route the invoice to the CPAS¶

This is the step that decides who the resident-share invoice goes to.

• The CPAS pays everything → set the resident’s Billing Contact (in the Default Payer group) to the CPAS contact. The monthly resident-share invoice will then be sent to the CPAS.

• The CPAS pays part of it → use maintenance debtors (split billing): add the CPAS as a debtor with its percentage, and the remaining payers (resident, family) for the balance.

What WideCare does — and does not do¶

Key points to remember¶

• CPAS coverage concerns the resident share (room + supplements), not the dependency allowance (health-insurance-fund share, via eFact).

• First create the CPAS in Billing → Configuration → CPAS, then link it to the resident in the Billing tab.

• Coverage is full or partial; the CPAS Monthly Amount only applies to partial coverage.

• The CPAS fields record the decision; to route the invoice, use the Billing Contact (full coverage) or split billing (partial coverage).

• The CPAS Monthly Amount and the decision reference are specific to each case, based on the CPAS notification.

Checking a MediPrima medical card¶

A person who has no mutuality — someone in a reception centre, without papers — may have their care paid by a CPAS under MediPrima, the federal register of the medical aid decisions. With the MediPrima module installed, WideCare asks that register through eHealth.

1. On the resident’s record, open the MediPrima smart button, or eHealth → MediPrima → Consultations.

2. Create a consultation for the resident, with the reference date.

3. Click Consult MediPrima.

The answer comes back as:

• Covered by a CPAS — the decision: the medical card number, the CPAS, the validity dates and, in Covered care, what the CPAS supports per category of care (the INAMI part, the patient part, supplements);

• No medical card — no decision for that date;

• Error — the platform’s message is shown on the consultation.

When the answer is Covered by a CPAS and the resident’s Insurance Regime is empty or standard, WideCare sets it to MediPrima (CPAS medical card): like the other special regimes, the resident is then left out of the MDA batches. Consult again refreshes the answer. MediPrima is a practitioner service: the menu is reserved to eHealth practitioners and managers.

Going further¶

• Manage a resident

• Bill a month · Billing a month in Belgium

• Maintenance debtors (split billing)

• Pocket money — the money the home holds for a resident; tick Pays into pocket money on the Pocket money product.

• The INAMI dependency allowance