Ariz. Admin. Code § 9-1-503

Current through Register Vol. 30, No. 48, November 29, 2024

Section R9-1-503 - Family Income Determination

A. A provider shall establish flat fees or fee percentages for medical services rendered to uninsured individuals with family incomes, including earned and unearned income, equal to or less than 200 percent of the current federal poverty guidelines.

B. A provider shall determine an uninsured individual's family income by:

1. Multiplying a weekly payment received by a family member, before deductions, by 52;

2. Multiplying a biweekly payment received by a family member, before deductions, by 26;

3. Multiplying a monthly payment received by a family member, before deductions, by 12;

4. For variable income received by a family member:

a. Adding at least four payments, before deductions;

b. Dividing the sum obtained in subsection (B)(4)(a) by the number of payments included; and

c. Multiplying the quotient obtained in subsection (B)(4)(b) by 52, 26, or 12 as applicable;

5. Counting the actual payments received by a family member, before deductions, for:

a. Interrupted income,

b. New income, and

c. Terminated income; and

6. Adding the dollar amounts calculated under subsections (B)(1) through (B)(5).

Ariz. Admin. Code § R9-1-503

New Section made by final rulemaking at 12 A.A.R. 3990, effective December 4, 2006 (Supp. 06-4).