Section He-Hea 303.04 - Standard Relating to the Medically Underserviced(a) Applicants shall provide health care services to 100% of its medically underserviced population: (1) As a direct service offered by the applicant;(2) Via a service contract between the supplier and the applicant; or(3) Pursuant to both (1) and (2) above.(b) Applicants shall demonstrate how they provide health care services to 100% of their medically underserviced population(s) by submitting a report with the application identifying: (1) The accommodations made for persons with a recognized disability under the ADA in terms of; (2) The assistance provided to persons for whom language is a barrier, including but not limited to: b. Interpretive telephone service;c. Personal translation service; andd. Any American Sign Language interpretation service; and(3) The application of a written financial assistance plan offered to persons who are uninsured or who do not have the financial resources to pay for services offered by the proposed project due to financial hardship.(c) The applicant's written financial assistance plan shall require that 100% of uninsured individuals with household income of up to or less than 150% of the federal poverty level receive free care, subject to a reasonable and nominal payment by the patient not to exceed a total sum of $100.00, which shall be waived by a showing of financial hardship.(d) The applicant shall provide in the application a copy of its written financial assistance plan which includes: (1) The application forms and written instructions provided to any person who expresses an inability to pay for services at the facility;(2) The written determination procedures for eligibility for the program, including a statement of services and charges that have been provided at the facility;(3) The written procedures for appeal of the determination for any person denied eligibility; and(4) A description of the communication procedures used to inform the public of such policy, including: a. Posting of the policy;b. Referencing such policy in all public notices of service availability; andc. The availability of staff to assist patients in all aspects of eligibility. (e) In addition to the above, applicants with existing facilities shall supply a report in the application stating the total amount of uncompensated care provided to persons for the preceding 12 months, including: (1) Total number of persons served;(2) Total dollar amount of uncompensated care expended; and(3) Total dollar amount expressed as a percentage of gross revenue.N.H. Admin. Code § He-Hea 303.04
#7139, eff 11-23-99; ss by #7928, eff 8-5-03; ss by #9075-B, eff 1-24-08
Amended by Volume XXXVI Number 19, Filed May 12, 2016, Proposed by #11081-B, Effective 4/23/2016, Expires 4/23/2026.