La. Admin. Code tit. 48 § V-3705

Current through Register Vol. 50, No. 9, September 20, 2024

Section V-3705 - Changes in Fees

A. The patient shall be informed that the fee clerk shall be notified of any change which may later occur in income, employment, or family composition which might result in a change in the adjustment fee, and the patient shall so notify the fee clerk. The fee clerk shall also conduct a periodic check (no less frequently than semi-annually) with each patient to determine any change in factors including cost changes, which would cause a change in the fee or adjusted fee. The fee clerk shall adjust the fee appropriately in accordance with the fee adjustment schedule.

B. No fee may be waived or reduced beyond the fee adjustment scale without the express approval of the facility administrator who shall document the reason for change in the patient's chart. When waiver or reduction is made, the administrator shall sign and date such authorization in the case record and in addition shall note and initial the adjusted fee on the ledger card.

C. Examples of acceptable justifications for waiving or reducing a fee include:

1. excessive expense due to other medical cost;

2. family hardships resulting in unusual and unexpected expenses.

La. Admin. Code tit. 48, § V-3705

Promulgated by the Department of Health and Human Resources, Office of Preventive and Public Health Services, LR 13:246 (April 1987).

AUTHORITY NOTE: Promulgated in accordance with 42 USC 300, 42 CFR Subpart A, Part 59.