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Apr 1, 2024 · There have been three bills that have directly impacted Hospital Discounted Care: HB 21-1198, known as Health Care Billing Requirements for Indigent Patients, created the statute now referred to as Hospital Discounted Care and was originally effective June 1, 2022. This bill has been fully implemented. HB 22-1403 pushed back the HB 21-1198 ...
- Hospital Discounted Care Frequently Asked Questions - Colorado
The patient does not have to be lawfully present in the U.S....
- Colorado Hospital Discounted Care
Hospital Discounted Care was created by House Bill (HB)...
- Hospital Discounted Care Frequently Asked Questions - Colorado
- Appeals
- Billing
- Forms
- Income
- Irs/Taxes
- Payment Plans
- Screening and Application
- Rates
- Reporting
- Rules
What is the appeals process? 1. If a patient completes the application process and is either determined ineligible for Hospital Discounted Care, or they believe there was an error in their determination which resulted in a higher household income and higher payment plan, they are allowed to appeal. Patients have 30 days from the date of the determi...
How is billing handled for those services associated with a procedure but NOT billed by the Health Care Facility (e.g., external labs, at-home equipment, etc.)? 1. If services are provided by a facility that is operating under the hospital’s license, the billing rates determined by the state for the Hospital Discount Care apply. If the facility bil...
Must we provide the patient's rights form to all patients or only those who present as uninsured? 1. The Patient’s Rights Form must be provided to all patients. It is to be posted conspicuously on the Health Care Facility’s website, including a link to the information on the Health Care Facility’s main landing page; posted in patient waiting areas;...
Is household income based on the date of service or some other timeframe? 1. The household income amount should be determined at the time of the application, regardless of how long it has been since the date of service or date of discharge. How are changes in household income dealt with? 1. Patients are allowed to request a redetermination if there...
How does Hospital Discounted Care align with IRS 501r regulations? 1. The Health Care Facility will need to contact their accounting firm. Will Health Care Facilities and Licensed Health Care Professionals be able to claim discounts as charity care? 1. The Health Care Facility and Licensed Health Care Professional should refer to federal IRS rules ...
Are payment plans based off gross charges or amounts billed to patients? 1. Payment plans are based off the patient’s calculated household income. Payment plans are capped at 4% of the patient’s monthly household income for Health Care Facility charges and 2% of the patient’s monthly household income per Licensed Health Care Professional who bills ...
If a patient is brought in by law enforcement for health care services, do we need to screen them and are they eligible? 1. If the patient is released from custody and is free to return home or otherwise leave the facility on their own, they should be screened if they are uninsured and would be able to receive discounted care under Hospital Discoun...
Will the State set rates be lower than what Medicare would pay Critical Access hospitals? 1. No, the rates for all hospitals will be the higher of the Medicare or Medicaid rate for the facility. For Outpatient services performed by a Critical Access Hospital (CAH) for which there is no Medicare rate, the CAH received an adjustment factor to the Med...
Will Health Care Facilities be required to provide the same reporting for Hospital Discounted Care and CICP? 1. After discussions with the Colorado Hospital Association and various hospitals, the Department has decided that beginning with data from July 1, 2022, providers may report data for Hospital Discounted Care and the CICP in the same data se...
How will the rules for Hospital Discounted Care be enforced for Health Care Facilities, Licensed Health Care Professionals, and other billers? 1. Reporting and audits will be conducted annually to ensure all applicable rules are being followed. The Department will be keeping track of all appeals filed and all complaints filed with the Department. I...
Hospital Discounted Care was created by House Bill (HB) 21-1198 . Patients who are at or below 250% of the Federal Poverty Guidelines (FPG) are eligible for Hospital Discounted Care. It limits the amounts that low-income patients can be billed for health care services at hospitals and emergency rooms, It also limits amounts billed from providers who work at hospitals and emergency rooms.
go away for CICP as it is currently utilized). A facility could allow a patient to pay part of their medical bill and count that payment as a deduction in or. er to bring the household down under 250% FPG. Additionally, providers would be allowed to apply Hospital Discounted Care to patients above 250% F.
Hospital Discounted Care (HDC) is a law that requires hospitals to screen all uninsured patients for eligibility for state-run programs (like Health First Colorado (Medicaid), and Children Health Plan Plus) and provide care at a discounted rate to anyone with a household income below 250% of the federal poverty line (roughly $3,037/month for an ...
Colorado’s Hospital Discounted Care Law. House Bill 21-1198 – Health-care Billing Requirements For Indigent Patients – known as Hospital Discounted Care (HDC), expanded and made several changes to Colorado’s hospital charity care statute. The law established new requirements for how hospitals screen, bill, and collect payments from low ...
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Aug 31, 2022 · The new Hospital Discounted Care Law is going into effect Thursday, after the passage of House Bill 21-1198. "This new law will cap the amount that hospitals can charge folks who are low and ...
