However, hospital facilities that have different AGB percentages or use different methods to determine AGB must include in their FAPs (or, in the case of information related to AGB percentages, otherwise make readily obtainable) different information regarding AGB to meet the requirements of paragraph (b)(2)(i)(C) of this section. Finally, Section 501(r)(6) requires a hospital to make reasonable efforts to determine whether an individual is eligible for financial assistance, as outlined in the FAP, before engaging in “extraordinary collection actions,” which includes taking legal action, selling an individual’s debt to another party and/or credit reporting. S does not deny financial assistance to FAP applicants based on a failure to submit any information or documentation not mentioned in the FAP application form or instructions. For purposes of paragraphs (b)(2)(i)(C) and (b)(4)(ii) of this section, information is readily obtainable by members of the public if a hospital facility -, (i) Makes the information available free of charge on a Web site and via a paper copy upon request in a manner similar to that described in paragraphs (b)(5)(i)(A) and (b)(5)(i)(B) of this section; and. For purposes of this paragraph (d), a hospital facility will be considered to have implemented a policy if the hospital facility has consistently carried out the policy. Other requirements are addressed in separate Snapshots and the final version of the Treasury Regulations should be referenced when reviewing whether a facility meets the requirements of Section501(r)(4). (i) In general. Purpose: To make financial assistance available in a fair and consistent manner to eligible individuals and in accordance with laws that apply to tax-exempt hospitals. This Financial Assistance Policy (“Policy”) establishes the policy to be followed by each Hospital Facility in: (1) determining the eligibility for Financial Assistance for those patients receiving Emergency Services and other Medically Necessary Services; A hospital organization meets the requirements of section 501(r)(4) with respect to a hospital facility it operates only if the hospital organization establishes for that hospital facility - (i) In general. Whether one or more measures to widely publicize a hospital facility's FAP are reasonably calculated to notify and inform members of a community or patients about the hospital facility's FAP in the manner described in paragraphs (b)(5)(i)(C) and (b)(5)(i)(D)(3) of this section will depend on all of the facts and circumstances, including the primary language(s) spoken by the members of the community served by the hospital facility and other attributes of the community and the hospital facility. S's FAP satisfies the requirements of this paragraph (b)(3). Patients determined to have presumptive financial assistance eligibility will be provided 100% financial assistance. S is a hospital facility with a FAP that bases eligibility solely on an individual's household income. However, a hospital facility may grant financial assistance under its FAP notwithstanding an applicant's failure to provide information or documentation described in the FAP or FAP application form and may, for example, rely on other evidence of eligibility or an attestation by the applicant to determine that the applicant is FAP-eligible. Read More About . Section1.501(r)-4(a) provide… Set charge limits for FAP-eligible patients. (v) Examples. The federal government ’s definition of plain language is “communication your audience can understand the first time they read or hear it. Scripps Health Participating & N on-Participating Providers with t he Scripps Financial Assistance Policy ("FAP") **FAP participant names are highlighted. Hospitals must work to determine whether an individual is eligible for a financial assistance policy before taking extraordinary collection actions. Below are a series of hospital policies regarding emergency care services, financial assistance and eligibility requirements for discounts. The federal government’s definition of plain language is “communication your audience can understand the first time they read or hear it. For purposes of this Snapshot, we will be addressing some of the Financial Assistance Policy (FAP) requirements under Section 501(r)(4). The sign says: “Uninsured? (A) The eligibility criteria for financial assistance and whether such assistance includes free or discounted care; (B) The basis for calculating amounts charged to patients; (C) The method for applying for financial assistance; (D) In the case of a hospital facility that does not have a separate billing and collections policy, the actions that may be taken in the event of nonpayment; (E) If applicable, any information obtained from sources other than an individual seeking financial assistance that the hospital facility uses, and whether and under what circumstances it uses prior FAP-eligibility determinations, to presumptively determine that the individual is FAP-eligible, as described in § 1.501(r)-6(c)(2); and. 2. (2) Interference with provision of emergency medical care. Please click on the links to learn more about these policies. Based on EMTALA, an emergency medical condition is an acute medical condition that, if … Financial Assistance Policy. These rules are also mandatory for governmental hospitals that have applied for 501(c)(3) status. A hospital organization meets the requirements of section 501(r)(4) with respect to a hospital facility it operates only if the hospital organization establishes for that hospital facility -, (1) A written financial assistance policy (FAP) that meets the requirements of paragraph (b) of this section; and. The instructions also state that if an applicant does not have any of the listed documents proving household income, he or she may call S's financial assistance office and discuss other evidence that may be provided to demonstrate eligibility. By implementing these measures, Z notifies and informs members of its community about the FAP within the meaning of paragraph (b)(5)(i)(C) of this section. 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