Client Insurance Information and Financial Participation: 03-12
Financial
Client Insurance Information and Financial Participation: 03-12
Attachments:
Attachment: A. Uniform Method of Determining Ability to Pay (UMDAP) Fee Schedule and Asset Allowance Schedule
Attachment. B. Roles and Responsibilities for Client Information and Financial Screening
Attachment: C. San Mateo Mental Health Guide to Payor Financial Information (PFI) Requirements
Attachment: E. What You Need To Know about Payment, English
Attachment: E. What You Need To Know about Payment, Spanish
Attachment: D. Payer Financial Information
Attachment: F. Therapeutic Fee Adjustment Request forms
Original policy date: 5/30/03
Last review: N/A