To learn more about how our Financial Assistance Team may help you with our Financial Assistance … A hospital facility may (but is not required to) define medically necessary care under the laws of the state in which it is licensed, including the Medicaid definition, or a definition that refers to the generally accepted standards of medicine in the community or to an examining physician’s determination. A hospital organization will have established a FAP, a separate billing & collection policy, or an emergency medical care policy for a hospital facility only if an authorized body of the hospital facility has adopted the policy and the hospital facility has implemented the policy. For purposes of this Snapshot, we will be addressing some of the Financial Assistance Policy (FAP) requirements under Section 501(r)(4). Notice 2015-46 describes how a hospital facility specifies the providers and care covered by the FAP, updates the FAP, and addresses errors and omissions in the provider list. See Exhibit 12-3, Form 4564 (Rev. A hospital facility's emergency medical care policy must prohibit the hospital facility from engaging in actions that discourage individuals from seeking emergency medical care. A FAP must specify all financial assistance available under the FAP, including all discounts and free care, and, if applicable, the amount(s) (for example, gross charges) to which any discount percentages will be applied. Either a hospital facility’s FAP or a separate written billing and collections policy established for the hospital facility must describe: In the case of a hospital facility that has a separate written billing and collection policy, the hospital facility’s FAP must state that the actions the hospital facility may take in the event of nonpayment are described in a separate billing and collections policy and explain how the public may readily obtain a free copy of that separate 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). Translations for Limited English Proficiency Populations. Making paper copies of the FAP documents available upon request and without charge by mail and in public locations in the hospital facility, including at a minimum in the emergency room (if any) and admissions areas, Notifying and informing members of the community served by the hospital facility about the FAP in a manner reasonably calculated to reach those members of the community who are most likely to require financial assistance, and. An un… It must specify which providers are covered by the hospital facility's FAP and which are not. We are committed to maintaining Financial Assistance policies that are consistent with our mission and values and that take into account an individual’s ability to pay for medically necessary health care services. Not all discounts a hospital facility might offer its patients are properly viewed as financial assistance. Financial assistance is available through IU Health. Additional Program … Patients are expected to cooperate with Community’s procedures and fulfill the documentation requirements needed to qualify for the assistance program. Printed copies of these documents may also be obtained, at no charge, by calling the Financial Navigation Department at 770-219-1898 or sending a message to the Financial Assistance … Notifying and informing visitors to the hospital facility about the FAP. Treas. Alternatively, the FAP may explain how members of the public may readily obtain such percentage(s) and accompanying description of the calculation in writing and free of charge. This notice clarifies how a charitable hospital organization may comply with the requirement in the final regulations that a hospital facility include a provider list in its financial assistance policy (FAP). Section 501 (r) (4) requires a hospital organization to establish a written financial assistance policy (FAP) … A hospital facility may determine the percentage or number of LEP individuals in the hospital's community or that are likely to be affected or encountered by the hospital facility using any reasonable method. Section 501(r) applies to tax years beginning after March 23, 2010. If it uses the look-back method, the FAP must state the AGB percentage(s) that the hospital facility uses to determine AGB and describe how the percentage(s) were calculated. To widely publicize the FAP, a hospital facility must accommodate all significant populations that have limited English proficiency (LEP) by translating the FAP documents into the primary language(s) spoken by such populations.