Code of Massachusetts Regulations
105 CMR - DEPARTMENT OF PUBLIC HEALTH
Title 105 CMR 920.000 - Establishing A Uniform Schedule Of Assessments For Direct Pay Patients At The Department Of Public Health Hospitals
Section 920.004 - Eligibility
Universal Citation: 105 MA Code of Regs 105.920
Current through Register 1531, September 27, 2024
Any patient (inpatient or outpatient) who must make direct payments to the hospital to pay for his health care is eligible for an assessment in accordance with the schedule set forth herein.
(A) Patients who are eligible for and actually do receive Medicaid, Medicare or other third party coverage are not eligible for an assessment to the extent that the third party coverage is actually received.
(1) Patients who seek an
assessment must apply for third party coverage whenever it appears that they
are able to receive it. Failure to apply may result in denial of an
assessment.
(2) Hospital personnel
shall assist patients in applying for third party coverage whenever
necessary.
(3) Patients who by
themselves or by financially responsible persons knowingly and intentionally
withhold information lawfully requested pursuant to
105 CMR 920.000 may be
charged the full rate for medical services rendered to them
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