Eligibility

Any patient (inpatient or outpatient) who must make direct payments to the hospital to pay for his health care is eligible for an assessment in accordance with the schedule set forth herein. (A) Patients who are eligible for and actually do receive Medicaid, Medicare or other third party coverage are not eligible for an assessment to the extent that the third party coverage is actually received. (1) Patients who seek an assessment must apply for third party coverage whenever it appears that they are able to receive it. Failure to apply may result in denial of an assessment. (2) Hospital personnel shall assist patients in applying for third party coverage whenever necessary. (3) Patients who by themselves or by financially responsible persons knowingly and intentionally withhold information lawfully requested pursuant to 105 CMR 920.000 may be charged the full rate for medical services rendered to them.