D.C. Mun. Regs. tit. 22, r. 22-B4406

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 22-B4406 - UNCOMPENSATED CARE ELIGIBILITY CRITERIA

4406.1

A person is eligible to receive uncompensated care if the person is unable to pay for health services and satisfies the following additional requirements:

(a) Is not covered, or receives services that are not covered, under a third-party insurer or governmental program;

(b) Has an annual individual or family income that is not greater than two hundred percent (200%) of the federal poverty level; and

(c) Requests services.

4406.2

Financial eligibility for uncompensated care shall be calculated by either of the following methods:

(a) Multiplying by four (4) the person's individual or family income, as applicable, for the three (3) months preceding the request for uncompensated care; or

(b) Using the person's or family's actual income, as applicable, for the twelve (12) months preceding the request for uncompensated care.

4406.3

For purpose of determining income eligibility for uncompensated care pursuant to § 4406.1(b), revisions to the federal poverty level used to calculate eligibility shall be effective sixty (60) days after the date of publication in the Federal Register.

D.C. Mun. Regs. tit. 22, r. 22-B4406

Final Rulemaking published at 36 DCR 5819 (August 11, 1989); as amended by Final Rulemaking published at 52 DCR 8258 (September 2, 2005); as amended by Final Rulemaking published at 53 DCR 4808 (June 16, 2006)

Authority: This chapter was originally enacted under the authority of the District of Columbia Certificate of Need Act of 1980, effective September 16, 1980 (D.C. Law 3-99; D.C. Official Code, §§ 44-1801 to 44-1817 (2001 ed.)), and amended by the District of Columbia Certificate of Need Act of 1980 Amendment Act of 1987, effective March 16, 1988 (D.C. Law 7-90; 35 DCR 710 (February 5, 1988)). Subsequent to the enactment of this chapter, the District of Columbia Certificate of Need Act of 1980 was repealed by § 22 of the Health Services Planning Program Act of 1992, effective March 16, 1993 (D.C. Law 9-197; 39 DCR 9195 (December 11, 1992)). Later authority for the regulation of Certificates of Need was found at D.C. Official Code §§ 44-401 to 44-421 (2001 ed.); Mayor's Reorganization Plan No. 3 of 1986; and Mayor's Order 95-162, dated December 4, 1995.