La. Admin. Code tit. 48 § VII-907

Current through Register Vol. 50, No. 11, November 20, 2024

Section VII-907 - General Provisions

A. Billing for the UDS co-payment shall be made to the patient or responsible party.

B. A person responsible for the payment of charges for services rendered who refuses or fails to supply the information necessary for accurate determination of the urine drug screen co-payment shall be billed accordingly. Any person who is potentially eligible for Medicaid who refuses to provide evidence of application for said benefits shall be presumed to be able to pay the full charge for services rendered, and shall be billed accordingly.

C. Eligibility will be good for one year. Periodic checks may be made with the responsible person to make charge adjustments as necessary. The responsible person shall be advised of his responsibility to report any change in the family unit composition, income, and employment.

D. Wherever applicable, billing for services rendered shall be sent monthly to the client or responsible person in accordance with the co-payment bill. When a patient's account becomes delinquent, it shall be handled in accordance with DHH Policy Number 4300-76, regarding collection procedures for patient bills.

E. OADA has developed internal management procedures for billing. A copy of these procedures are housed in the Assistant Secretary's Office of OADA.

F. Any individual or family unit who is indigent, as defined herewith shall be eligible for reduced co-payment fees based on the urine drug screen co-payment sliding fee scale. When documented medical bills incurred within the 12 months prior to treatment/service equal or exceed 20 percent of the annual gross family unit income, urine drug screens shall be provided at reduced cost to the family unit. The period of eligibility begins at the date at which liability reaches the 20 percent figure through the end of the calendar year. Such patients with third-party payors shall be provided reduced cost medical services or only that portion of their bill for which no third-party payor is or may be liable.

G. Exceptions may be granted at the discretion of the Assistant Secretary or his designee.

Co-payment Sliding Fee Scale for Urine Drug Screen
Income	Dependents
	1	2	3	4	5+
0 - 2000	$ 2	$ 2	$ 2	$2	$2
2001 - 3000	4	2	2	2	2
3001 - 4000	8	4	2	2	2
4001 - 5000	10	8	4	2	2
5001 - 6000	12	10	8	4	2
6000+	12	12	10	8	4

La. Admin. Code tit. 48, § VII-907

Promulgated by the Department of Health and Hospital, Office of Alcohol and Drug Abuse, LR 23:200 (February 1997).

AUTHORITY NOTE: Promulgated in accordance with R.S. 28:771 and R.S. 36:258(E).