The Patient Participation deduction is an amount determined by the local Department of Social Services (DSS) that the Participant may have to pay for the services he or she receives from the Attendant. If the Participant is subject to this deduction, the Patient Pay amount determined by DSS will be subtracted from the Attendant’s pay and must be repaid by the Participant. In order to be reimbursed, the Attendant must show the EOR a copy of his or her pay stub showing the Patient Pay deduction. The EOR is responsible for ensuring that the Attendant is reimbursed for the full amount deducted from the Attendant’s pay.