Services | Maximum allowable cost sharing | ||
Individuals with family income [LESS THAN EQUAL TO]100% of the FPL | Individuals with family income 101-150% of the FPL | Individuals with family income [GREATER THAN]150% of the FPL | |
Outpatient Services (physician visit, physical therapy, etc.) | $4 | 10% of cost the agency pays | 20% of cost the agency pays. |
Inpatient Stay | 75 | 10% of total cost the agency pays for the entire stay | 20% of total cost the agency pays for the entire stay. |
42 C.F.R. §447.52