Thereafter, the fee scale must be reviewed by the program on an annual basis and, if any changes are made to the scale, those changes must be submitted for approval as well. These assessments will be the basis for the fee. Patient's Medicaid number if the patient has a currently valid medicaid card. Programs may grant temporary exemption from fee payment if the patient has a public assistance application pending. The patient's verifiable household income.
Verifiable income is wages and salary, including salary which is the result of self-employment.
If the patient cannot present any of this type of income documentation, programs must document efforts to aid patients in applying for public assistance. The number of persons dependent on that income. These might include child support, medical. legal, or educational expenses. Financial reassessments must be done not less than every 6 months after the admission assessment or whenever the patient's financial situation changes, whichever comes first. When a patient falls in arrears or when a patient mentions having financial difficulties, this must immediately become a counseling issue and must be documented in the case record.