#8 Multiple Nominal Charges

In the December 2019, “HRSA-BPHC Consultant eNews”, HRSA provided guidance on using multiple nominal charges based on special population status/funding stream.

The article stated that a common question was whether a health center could have different nominal charges for patients who are identified as being part of a “special population?” An example of this would be whether a health center could apply no nominal charge for its homeless patients but assess a $20 nominal charge to general patient population for the same service?

HRSA explained, that “eligibility for sliding fee discounts, including any nominal charges, is to be based solely on income and family size, not on whether patients are identified as being part of a “special population” or any other demographic category. If a health center chooses to assess a nominal charge for patients with incomes at or below 100% of FPG, or to not assess any nominal charge for services, then this charge or lack thereof, would apply to all patients based on income and family size.”

Having trouble moving toward HRSA continuous compliance? Contact our expert team at www.RegLantern.com. Our FQHC Mock Site Visits and web-based HRSA Continual Compliance tools will help save you time and money.

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Kyle Vath

Kyle Vath, BSN, MHA, RN: Kyle Vath is the CEO and co-founder of RegLantern, a company that provides tools and services to health centers that help them move to continual compliance. These services include mock site surveys and web-based tools that allow health centers to organize their compliance documentation. Kyle has served in a wide range of healthcare settings including serving as the Director of Operations for Social Ministries for a large health system, Provider Relations for a health system-owned payer, the Director of Operations for a Federally-Qualified Health Center, long-term care (as a nursing manager, director of nursing, and licensed nursing home administrator), in acute care (as a critical care nurse), and in Tanzania, East Africa as a hospital administrator of a rural mission hospital.

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