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Charity Program Policy


Policy No: CC-011
Effective Date: 03/01/99
Review Date: 1/13/06, 02/18/10, 05/04/11

SUMMA HEALTH SYSTEM HOSPITALS
PATIENT ACCOUNT SERVICES
CARE ASSURANCE UNIT

<PROCEDURE FOR PROCESSING SUMMA HEALTH SYSTEM CHARTIY APPLICATIONS>

PURPOSE:
To provide basic health care services without charge to our patients who meet all Ohio Hospital Care Assurance program guidelines with income that is greater than and up to 200% of the Federal Poverty income guideline. To assist with the patient application process and determine patient eligibility for the Summa Health System Charity Program.

POLICY:
The application process and determination of eligibility must be performed in accordance with and based on the following rules set forth by Ohio Administrative Code 5101:3-2-07.17: .

Three-Year Application Deadline
To apply for free care for services received on or after December 14, 2000, a three-year deadline from the date the patient receives the second billing statement is imposed. Patients with earlier service dates can continue to apply at any time.

Frequency of Application
For outpatient services, eligibility determination is good for 90 days from the initial service date. For inpatient services, eligibility must be determined for each admission unless the patient is readmitted within 45 days of discharge for the same underlying condition.