Current through Reg. 50, No. 187; September 24, 2024
(1) Persons with
net family incomes between 101 and 200 percent of the Health and Human Services
Poverty Guidelines for the 48 Contiguous States and the District of Columbia
(Poverty Guidelines), as published in the January 18, 2018 rendition of the
Federal Register, incorporated by reference and available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-09394
or https://aspe.hhs.gov/poverty-guidelines,
shall be charged a fee on a sliding scale based on the following increments.
For family planning services only, persons with incomes between 101 percent and
250 percent of poverty shall be charged on a sliding fee scale as described in
paragraph 64F-16.006(3)(h),
F.A.C., below:
(a) Persons with incomes at or
below 100 percent of the poverty guidelines shall pay no fee.
(b) Persons with incomes at 101 to 119
percent of the poverty guidelines shall pay 17 percent of the full
fee.
(c) Persons with incomes at
120 to 139 percent of the poverty guidelines shall pay 33 percent of the full
fee.
(d) Persons with incomes at
140 to 159 percent of the poverty guidelines shall pay 50 percent of the full
fee.
(e) Persons with incomes at
160 to 179 percent of the poverty guidelines shall pay 67 percent of the full
fee.
(f) Persons with incomes at
180 to 199 percent of the poverty guidelines shall pay 83 percent of the full
fee.
(g) Persons with incomes at or
above 200 percent of the poverty guidelines shall pay the full
fee.
(2) Laboratory,
pharmacy, and radiology charges may be added separately to the clinic visit
charge, but must be charged on the sliding fee scale.
(3) This sliding fee scale applies to
recipients of integrated family health and communicable disease control
services, with the following exceptions:
(a)
Participants in the Special Supplemental Nutrition Program for Women, Infants,
and Children (WIC) shall not be charged any fee for WIC certification or WIC
benefits.
(b) There shall not be
any fee charged for childhood immunizations required for admittance to or
attendance in school as specified in section
232.032, F.S.
(c) There shall not be any fee charged for a
Medicaid reimbursable service to any CHD client/patient who is eligible for and
enrolled in the Medicaid program.
(d) Clients served by CHDs and their
subcontractors shall not be denied services for tuberculosis, sexually
transmitted disease, or HIV/AIDS communicable disease control because of
failure or inability to pay a prescribed fee, regardless of their
income.
(e) Clients interviewed,
examined, or tested at CHD initiative because they are a contact to a case of a
communicable disease or because they are a member of a group at risk that is
being investigated by the CHD may not be charged a fee for the interview,
examination, or testing; these clients may be charged on a sliding fee scale
for any treatment indicated, but they cannot be denied services based on
inability to pay.
(f) Clients
served by CHDs and their subcontractors shall not be denied family planning
services for failure or inability to pay a prescribed fee, regardless of their
income; however all family planning methods, shall be limited depending on the
availability of funds.
(g) Clients
shall not be denied pregnancy testing for failure or inability to pay a
fee.
(h) For family planning
services only, persons with net family incomes between 101 percent and 250
percent of the poverty guidelines shall be charged a fee on a sliding scale
based on the following increments:
1. Persons
with incomes at or below 100 percent of the poverty guidelines shall pay no
fee.
2. Persons with incomes at 101
to 129 percent of the poverty guidelines shall pay 17 percent of the full
fee.
3. Persons with incomes at 130
to 159 percent of the poverty guidelines shall pay 33 percent of the full
fee.
4. Persons with incomes at 160
to 189 percent of the poverty guidelines shall pay 50 percent of the full
fee.
5. Persons with incomes at 190
to 219 percent of the poverty guidelines shall pay 67 percent of the full
fee.
6. Persons with incomes at 220
to 250 percent of the poverty guidelines shall pay 83 percent of the full
fee.
7. Persons with incomes at or
above 251 percent of the poverty guidelines shall pay the full
fee.
(4)
Persons with net family incomes above 200 percent of the poverty guidelines
shall be charged the full fee promulgated by the department or the relevant
board of county commissioners, with the exception of those groups listed in
paragraphs (3)(a) through (h), above.
Rulemaking Authority 154.011(5) FS. Law Implemented 154.011
FS.
New 10-14-93, Amended 8-2-94, 4-29-96, Formerly
10D-121.007, Amended 6-24-02, 6-17-03, 6-30-10, 1-2-17,
5-21-18.
