N.J. Admin. Code § 10:52-11.6

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:52-11.6 - Identification

(a) Applicants for charity care shall provide the hospital with the following proper identification: paragraph (a)3 below represents an alternative measure for documenting identification as described in 10:52-11.11.

1. The applicant shall provide the hospital with one of the following identification documents: driver's license, social security card, alien registry card, birth certificate, baptismal certificate, paycheck stub, passport, visa, death certificate, employee identification, or attestation that the person is homeless and does not possess any of the above mentioned identification documents. If the documents listed above are not available to the applicant, the hospital staff shall document why the applicant was unable to comply, and shall ask for one of the identification documents listed in (a)2 below. If the applicant is unable to comply for medical reasons, such as, if the applicant is deceased, or noncommunicative until discharge for medical reasons, and a person to identify the patient cannot be found, the requirement for identification shall be waived.

2. The applicant shall provide the hospital with one of the following documents containing his or her name and address: a driver's license, a voter registration card, a union membership card, an insurance or welfare plan identification card, a student identification card, a utility bill, a Federal income tax form, a state income tax form, or an unemployment benefits statement. If the documents listed above are not available to the applicant, the hospital staff shall document why the applicant was unable to comply and shall ask for proof of identification as described in (a)3 below.

3. The applicant shall provide proof of identification in one of the following ways: a piece of mail addressed and delivered to the applicant; a signed attestation (which includes the party's name, address and telephone number) from a third party attesting to the applicant's identity; or a signed statement attesting to his or her own identity.

(b) The hospital shall obtain a photocopy of the applicant's identification or attestation and shall produce the copy on audit.

(c) The hospital shall attempt to collect the following information regarding the applicant and, if applicable, the responsible party: name; mailing address; residence telephone number; date of birth; social security number; place and type of employment; and employment address and telephone number, as applicable.

N.J. Admin. Code § 10:52-11.6

Amended by R.2000 d.29, effective 1/18/2000.
See: 31 New Jersey Register 3151(a), 32 New Jersey Register 276(a).
In (a), changed N.J.A.C. reference in the introductory paragraph, inserted a reference to baptismal certificates and paycheck stubs in 1, and inserted a reference to drivers licenses and deleted a reference to baptismal certificates and paycheck stubs in 2.
Recodified from 10:52-11.5 and amended by R.2000 d.299, effective 7/17/2000.
See: 32 New Jersey Register 1123(a), 32 New Jersey Register 2615(a).
In (a), changed N.J.A.C. reference. Former N.J.A.C. 10:52-11.6, New Jersey residency, recodified to N.J.A.C. 10:52-11.7.
Amended by R.2005 d.214, effective 7/5/2005.
See: 37 New Jersey Register 436(a), 37 New Jersey Register 2056(a).
In (a), inserted ", and shall ask for one of the identification documents listed in (a)2 below. If the applicant is unable to comply" preceding "for medical reasons" in 1.