Title X Sliding Fee Scale

Audit Report - Michigan
Noncompliant Application of Sliding Fee Scale .. 4 3 . Noncompliant Supply Quantities Provided maintained, all in accordance with Title X of the Public Health Service Act and 42 CFR part 59, and other applicable requirements. ... Read Here

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Sliding Fee Scale - CFHC
Sliding Fee Scale 0% - 100% 101% - 125% 126% - 150% 151% - 175% 176% - 200% 201% - 225% 226% - 250% 251% and greater Family Federal Poverty Level Size No Charge FPACT No Charge Partial Patient Fee/ Title X Patient Full Pay Patient Pays 0% Patient Pays 10% Patient Same scale must be applied ... View Full Source

Sample Sliding Fee Discount Policy And Procedures
Title: SLIDING FEE DISCOUNT PROGRAM. Policy: A Sliding Fee Discount Program will be provided to eligible persons based on the patient’s ability to pay. Sliding Fee Scale Discount Policy; page 1. Title: Title: Author: Mary Lundberg Last modified by: ... Retrieve Here

Purpose Statement Of Policy
And assurance of adherence of such sliding fee scale for all services provided in the Family Planning visit/exam. definition section for all clients seeking services in the Title X Family Planning Clinics. Legal Authority: This policy is based on Title X regulations (January, ... Retrieve Document

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RHODE ISLAND DEPARTMENT OF HEALTH FAMILY PLANNING PROGRAM ...
A schedule of discounts (sliding fee scale) includes all core required Title X services. The sliding fee scale should be based on family size, income, and other specified economic considerations for individuals with family incomes between 101% and 250% ... View Doc

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Montana Department Of Public Health And Human Services Public ...
Public Health and Safety Division ** Title X Family Planning Program Standards and Guidelines Manual (2006) 45 CFR, Part 74, Administration of Grants T. Determine a schedule of discounts and sliding fee scale for family planning services, pursuant to ... Doc Retrieval

Collecting Co-Pays And Applying Sliding Fee Scales
COLLECTING CO-PAYS AND APPLYING THE SLIDING FEE SCALE Q: What is the federal rule that applies to collecting co-pays and applying the sliding fee scale? A: Title X Program Requirements provide guidance on how clients should be charged. ... Retrieve Doc

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Porcelain tile is often extruded; has less impurities than ceramic; paying a fee, submitting a (no foot traffic) up to PEI 5, but with most ratings in the lower end of the scale. Related Articles. Porcelain Flooring; Smart, Easy Ways to Increase Your Home's Value; ... Read Article

South Central Public Health District New Fee Schedule For ...
Title X Family Planning fees are assessed based upon a sliding fee scale according to client income and family unit size. District Care fees are based upon the same fee schedule as for Title X Family Planning services with the following ... Read Here

SLIDING SCALE FEE POLICY - Laramie, Wyoming
SLIDING SCALE FEE POLICY To continue receiving a sliding fee you must re-apply, furnish proof of income, and be current with any payment arrangements for our office. Title: Microsoft Word - Sliding Scale Author: ashoales Created Date: ... Doc Retrieval

Instructions For Sliding Fee Scale Qualifications
Instructions for Sliding Fee Scale Qualifications On the next pages are three different forms for uninsured patients. Employer’s Name and Title (Printed) _____ _____ _____ Employer’s Signature ... Read Full Source

Example Sliding Fee Scale
Sliding Fee Scale A sliding fee scale is intended to accomplish the following: • Ensure access to necessary health care; and • Assure payment equity according to documented financial need. Title: Sliding Fees Author: bgibson Created Date: ... Document Viewer

Sliding Fee Scale Application - Neighborhood Medical Center
Neighborhood Medical Center Title: Sliding Fee Discount Policy Purpose: To ensure that all persons have access to care regardless of ability to pay. ... Access Full Source

Sliding Fee Scale - La Clínica Del Pueblo
Sliding Fee Scale - La Clínica del Pueblo Level. A: B: C D: E F: G H: I J: K. Not eligible for RW coverage after; Lower Limit; 0%; 101%; 121%: 141% 161%: 181% 201%: 10 $ 10 $ 10 $ 10 $ 10 $20 $20 $20 $20 $30 Full Fee Title X $0 $ 20 $ 30 $ 40 $ 50 $ 60 $70 $80 Full Fee Full Fee Full Fee ... Retrieve Content

NHSC SlidingFeeDiscountProgram InformationPackage
2 NHSC Sliding Fee Discount Schedule Information Package Revised March 2015 . SLIDING FEE SCHEDULE . Sites must use a schedule of fees or payments for services that is consistent with locally prevailing rates ... Read More

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Sterilizations: Vasectomies M - Oregon
Title X Sliding Fee Scale B, Exhibit 3 Check Box 9.08 for SOP – Sterilization – Sterilization Medical Additionally, the Title X sliding assess any fees for T A A Sterilizations: Vasectomies – Public Health e client any additional fees, including lab fees for the ... Fetch This Document

SlIdING Fee APPlICAtIoN - Anchorage Neighborhood Health ...
Sliding fee scale application and supporting documentation Sliding Scale Calculation reminders: Annual Income / 12 months = Average monthly income. Title: ANHC_SlidingFee.indd Created Date: 9/11/2012 1:29:00 PM ... Fetch This Document

2012 Title X RFA Questions - Nebraska
A Title X Delegate clinic can serve clients from any service area, but would market their services in developing a sliding fee scale using the 2012 Federal Poverty Guidelines. ... Fetch Full Source

Audit Report - SOM - State Of Michigan
Errors in Applying Sliding Fee Scale The Michigan Title X Family Planning Standards and Guidelines, Section 6.3.1, require the development and implementation of a schedule of discounts for individuals with family ... Get Document

Section B Table Of Contents - Oregon
Oregon Health Authority – Public Health Reproductive Health Program Manual . Section B Table of Contents . Federal Title X Requirements Introduction… ..B1. Program Requirements for Title X Funded Family Planning Sliding Fee Scale ... Fetch Full Source

Family Planning Cost Analysis Workshop
Private Health Insurance in the World of Title X. Emily Kinsella, MSPH. Family Planning Administrative Consultant. Colorado Dept. of Public Health and Environment. September 20, 2012. Separate process from establishing sliding fee scale. ... Access Document

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