[Code of Federal Regulations]

[Title 42, Volume 1]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR55a.301]



[Page 242-243]

 

                         TITLE 42--PUBLIC HEALTH

 

    CHAPTER I--PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN 

                                SERVICES

 

PART 55a_PROGRAM GRANTS FOR BLACK LUNG CLINICS--Table of Contents

 

             Subpart C_Grants to Entities Other Than States

 

Sec. 55a.301  What is required for an application from an entity other 

than a State?





    An approvable application must contain the following:

    (a) A plan for the provision of the services required by Sec. 

55a.201(a), consistent with the requirements of Sec. 55a.201 (b) and 

(c). The plan must also contain at least the following elements:

    (1) A description of the target population to whom services are to 

be provided, including a statement of the need for services;

    (2) An assurance that charges shall be made for services rendered as 

follows:

    (i) A schedule shall be maintained listing fees or payments for the 

provision of services, designed to cover reasonable costs of operations;

    (ii) A schedule of discounts adjusted on the basis of a patient's 

ability to pay shall be maintained. The schedule of discounts must 

provide for a full discount to individuals and families with annual 

incomes at or below the poverty line established in accordance with 

section 673(2) of the Community Services Block Grant Act (42 U.S.C. 

9902(2)), (except that nominal fees for service may be requested, but 

not required, from individuals and families with annual incomes at or 

below the poverty line). No



[[Page 243]]



discounts shall be provided to individuals and families with annual 

incomes greater than twice the poverty line; and

    (iii) Where third-party payors (including Government Agencies) are 

authorized or under a legal obligation to pay all or a portion of such 

charges, all services covered by that reimbursement plan will be billed 

and every reasonable effort will be made to obtain payment.

    (b) An assurance that no person will be denied services because of 

inability to pay.

    (c) An assurance that grant funds received under this part will be 

used to supplement and not supplant existing services of the grantee.



(Approved by the Office of Management and Budget under control number 

0915-0081)



[50 FR 7913, Feb. 27, 1985, as amended at 50 FR 53156, Dec. 30, 1985]