Charging Fee Requirements Sample Clauses

Charging Fee Requirements. Low-income Patients (a) If any service defined in this Contract is available free of charge from the Contractor to persons who have the ability to pay, the Contractor shall ensure DSHS is not charged for Fee Requirements for low-income patients. (b) The Contractor shall use 220% of the Federal Poverty Guidelines to determine low-income service eligibility. The Federal Poverty Guidelines can be found by accessing the Provider page of the DSHS website at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇.▇▇▇/DBHR/ . (c) For patients who are already receiving services who did not qualify for low-income services under the former eligibility requirement, but do qualify under the new eligibility requirement, the Contractor shall convert those patients to low-income treatment services. (d) The Contractor shall ensure sliding fee schedules are used in determining the fees for low- income eligible services. (e) The Contractor shall ensure that persons who have a gross monthly income (adjusted for family size) that does not exceed the 220% of the Federal Poverty Guidelines are eligible to receive services partially supported by funds included in this Contract. (f) The Contractor shall charge fees in accordance with the Low-income Service Eligibility Table to all patients receiving assessment and treatment services that are determined through a financial screening, to meet the requirements of the Low-income Service Eligibility Table. (g) If a Contractor determines that the imposition of a fee on an individual will preclude the low- income eligible patient from continuing treatment, the fee requirement may be waived by the Contractor. (h) The minimum fee per counseling visit is $2.00. The maximum fee per service is the reimbursement cost of the service provided as identified on the SRP. i. Indigent patients are exempt from this fee requirement. ii. Interim Services are exempted from this fee requirement. i. Screening and Assessment RCW 70.96C.010 Integrated, comprehensive screening and assessment process for chemical dependency and mental disorders. The Contractor shall ensure: (1) The GAIN-SS screening tool is used for conducting the integrated comprehensive screen on all new patients and ensure the GAIN-SS scores are documented in TARGET. Additional information can be found by accessing the Provider page of the DSHS website at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇.▇▇▇/DBHR/. (2) If the results of the GAIN-SS are indicative of the presence of a co-occurring disorder, this information shall be considered in the develo...