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Uncompensated Care Sliding Scale Policy

POLICY:  To assist patients unable to pay for basic, medically necessary hospital-level care by providing the opportunity to obtain financial assistance through internal charitable guidelines demonstrated under the hospital’s Uncompensated Care Plan.  This plan applies a sliding scale that determines a patient’s amount of charitable reduction.  This scale is driven by a patients/families household income and unit size in relation to a percentile increase over the Federal Poverty Guidelines.
PURPOSE:  To provide quality health care to patients who are unable to pay for all or a portion of their medically necessary services and who do not meet the Federal Poverty Guidelines or the Uncompensated Care guidelines determined and implemented by Wood County Hospital.
PROCEDURE:  Patient is determined eligible if the following guidelines are met.
• The patient is a current resident of Ohio
• The patient is not a Medicaid recipient
• The patient’s individual or family income is over the Federal Poverty Guidelines wherein the Uncompensated Care sliding scale would be implemented.
• The income 3 months prior to date of hospital service.
• Fixed income statements from the payer or provided on bank statements
• Oral declarations of financial status 
Applications are completed and returned to the Financial Counselor. 
• The Financial Counselor reviews the applications.
• If eligible for sliding scale, the Financial Counselor posts adjustments using transaction code for sliding scale.
• The sliding scale provides percentile driven adjustments based on income and family size as a sliding percentage of the federal poverty guidelines.  (see attached). 
• The patient is notified of approval or denial by the Financial Counselor.

Updated 02-11-09
Updated 05-21-09, 08-21-2013
Updated 03/01/2014
Reviewed: April 2016, November 2017