N.J.S.A. 26:2H-18.59j — Charity claims by hospital, eligibility.

26:2H-18.59j Charity claims by hospital, eligibility. 6. Notwithstanding the provisions of section 3 of P.L.2004, c.113 (C.26:2H-18.59i) to the contrary, a hospital shall not submit charity care claims to the Department of Health for health care services provided to a child under 19 years of age who presents at a hospital for emergency care and who may be deemed presumptively eligible for NJ FamilyCare coverage pursuant to P.L.2005, c.156 (C.30:4J-8 et al.) or Medicaid coverage pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.). L.2008, c.38, s.6; amended 2012, c.17, s.230. 26:2H-18.60. Uniform charity care eligibility and reimbursement claim form 10. a. The commissioner shall establish a uniform charity care eligibility and reimbursement claim form that a hospital shall be required to use in order to receive reimbursement for charity care under this act. b. A person whose individual or, if applicable, family gross income is less than or equal to 300% of the poverty level shall be eligible for charity care or reduced charge charity care for necessary health care services provided at a hospital. The commissioner shall establish: (1) the maximum level of income at which a person is eligible for full charity care; (2) a sliding scale based on income which specifies the percentage of hospital charges for which a person who is eligible for reduced charity care is responsible; and (3) assets eligibility criteria for full charity care and reduced charge charity care, respectively. L.1992,c.160,s.10; amended 1995,c.133,s.6.

This is the verbatim text of N.J.S.A. 26:2H-18.59j, retrieved from the New Jersey Legislature's public statute corpus. Statutes are amended periodically — for the most current version, check the external source link above. Kyzer is not a law firm and this page is not legal advice.