This FAP does not apply to, and a patient may be billed separately for, services provided by certain physicians that are not employed by one of CCHCS's affiliated entities and/or other non-hospital providers. Services provided by all other CCHCS affiliated entities are covered by CCHCS policy FN 300 – Financial Assistance, which applies eligibility criteria and discounts identical to those set forth in this policy. This FAP applies to emergency and other medically necessary care provided by CCMC. There may be unique situations when a guarantor may have a financial hardship, but not meet the requirements of this policy to receive financial assistance. It is the goal of CCMC to make an eligibility determination as soon as possible after all information is collected in the application process.Ī person who is eligible for financial assistance will never be charged more for emergency or other medically necessary care than the amounts generally billed to individuals with insurance. Eligibility will be determined no later than 240 days after CCMC provides the individual with the first post-discharge billing statement.
These medications will be dispensed in accordance with applicable state and federal statutes and will be done only for inpatients at CCMC, and/or outpatients in the hospital-based specialty clinics, and emergency room.įinancial assistance will be granted, if qualified, without regard to age, sex, gender identity or expression, sexual orientation, physical or mental disability, race, creed, ethnicity, religion, language, or national origin.ĬCMC is required to make a reasonable effort to determine whether an individual is eligible for financial assistance in accordance with the terms of this policy. The approving individual(s) will review and document that all applicable policies were followed.įinancial assistance will be available to all individuals who receive services at CCMC on an emergency basis and do not have the resources to pay for the services, regardless of residency or citizenship status.ĬCMC will, through the Case Management Department, on a case-by-case basis, provide prescription medications to a patient whose family has no resources with which to fill physician prescribed medications. Applications for financial assistance will be approved in accordance with the levels of authority indicated in this policy. Information about financial assistance will be widely publicized and made available to guarantors whose children have received care from CCMC.įinancial assistance may be granted to United States (U.S.) citizens or lawful permanent residents who are not residents of the CCHCS primary service area within the limitations of this policy. In connection with CCMC's exemption from certain federal and state taxes, and in support of CCMC's mission to serve the health care needs of the community, CCMC will provide financial assistance to eligible patients in accordance with this Financial Assistance Policy (FAP). This policy is supported by the requirements of CCMC policies MC 171 - Admissions, MC 011 – Emergency Medical Screening and Transfer of Patients, MC 484 - Emergency Department Services and Coordination of Care, and CCHCS policies FN 175 Collection Requirements at Time of Service, FN 300 – Financial Assistance, AD 550 - Undocumented Immigrants, and FN 480 - Prompt Pay Discounts for the Uninsured. The CCHCS primary service area is comprised of Tarrant, Johnson, Parker, Denton, Hood, and Wise counties. Recognize that reasonable limits must be established for the amount of financial assistance that can be furnished to the intended recipients to ensure the continued financial viability of CCMC and its affiliated entities. Those patients residing outside of the primary service area, including out of state, who come to CCMC through established physician relationships and The residents of the communities in CCHCS's primary service area
To describe how Cook Children's Health Care System (CCHCS) will allocate resources for emergency and other medically necessary care provided at Cook Children's Medical Center (CCMC) to patients who need financial assistance, and to manage CCHCS's limited resources to appropriately provide medically necessary care to: Cook Children's also provides financial assistance for families that are ineligible for a government program or otherwise unable to pay for medically necessary care based on their financial situation.
Cook Children's offers help for uninsured or underinsured children by offering several assistance options, including CHIP, Medicaid and our own health plan company.