- (1) Medicaid and Medicare/Medicaid related recipients are required to pay and independent rural health clinics are required to collect the established copayment amount for each clinic encounter.
(2) The cost-sharing requirement does not apply to services provided for the following:
- (a) Recipients under 18 years of age;
- (b) Emergencies;
- (c) Pregnancy;
- (d) Family Planning;
- (e) Nursing home residents;
- (f) American Indians
- (3) A provider may not deny services to any eligible individual on account of the individual's inability to pay the copayment amount.
Author: Carol Akin, Associate Director, Clinic/Ancillary Services
Statutory Authority: 42 C.F.R. §§ 447.50, 447.53, 447.55, et seq.; State Plan, Attachment 4.18-A.
History: Rule effective June 8, 1985. Effective May 11, 1993. Amended: Filed January 19, 2011; effective February 23, 2011.