CHARITY CARE, GUIDELINES FOR DETERMINATION OF
(9/25/09, BOT) Approved the following guidelines for Determination of Charity Care: Practices must determine the level of charity care provided to a patient by using consistently applied written guidelines. The physician practice is responsible for tailoring the guidelines based on location, specialty, or patient demographics that are most appropriate for the practice. The guidelines should consist of a charity care application, criteria for determining the level of charity care based on family size, ability to pay and insurance coverage. Practices should base charity care on the current year Federal Poverty Guidelines as determined by U.S. Department of Health and Human Services (HHS). Lastly, charity care guidelines should only extend to those families with income less than four times the Federal Poverty Guidelines or to uninsured patients. In the case of an uninsured patient, practices may determine a fixed write-off percentage that is separate from the normal charity care policy. Only medically necessary services, as determined by the physician, are eligible for charity care.