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 920.006 - Annual Maximum Assessments and Minimum Assessments

Universal Citation: 105 MA Code of Regs 105.920

Current through Register 1531, September 27, 2024

(A) Notwithstanding the foregoing provisions, no eligible direct pay patient shall be required to pay more for his health care during the prospective fiscal year than an amount calculated in accordance with the schedule set forth below:

(1) The maximum yearly figure shall be determined by multiplying the family's adjusted yearly income by the following percentages:

Family Size

Percentage of Income

0

65.2*

1

15.0

2

12.5

3

10.0

4

7.5

5

5.0

6+

5.0

(2) Example: The maximum yearly charge for a family of four persons with an adjusted family income of 13,500.00 will be computed as follows:

$13,500x7.5 = $1,013

(a) Even though this family's monthly assessment is $205 (which when multiplied by 12 equals $2,460), the maximum they can be assessed over a 12-month period is $1,013.

(B) Except in those public hospitals that are subject to the Regulations Requiring a Minimum Level of Uncompensated Medical Services in Massachusetts, and notwithstanding other provisions of these regulations, there shall be a minimum charge of $1.00 per day or $1.00 per outpatient visit.

(C) In the Department of Public Health Hospitals that are subject to the Regulations Requiring a Minimum Level of Uncompensated Medical Services Regulations in Massachusetts, patients who fall within the eligibility category set forth in 105 CMR 133.700(A)(1) shall not be required to pay an assessment for their medical care, but shall be provided free medical care.

(1) The above provision shall be in effort so long as the hospital has not met its Hill-Burton obligation for the year in question

(2) After the yearly Hill-Burton obligation has been met, direct pay patients within the 105 CMR 133.700(A)(1) eligibility category cited above may be assessed in accordance with 105 CMR 920.000.

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