Section R9-1-503. Family Income Determination  


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  • A.      A provider shall establish flat fees or fee percentages for med- ical services rendered to uninsured individuals with family

    incomes, including earned and unearned income, equal to or less than 200 percent of the current federal poverty guidelines.

    B.       A provider shall determine an uninsured individual’s family income by:

    1.        Multiplying a weekly payment received by a family member, before deductions, by 52;

    2.        Multiplying a biweekly payment received by a family member, before deductions, by 26;

    3.        Multiplying a monthly payment received by a family member, before deductions, by 12;

    4.        For variable income received by a family member:

    a.        Adding at least four payments, before deductions;

    b.        Dividing the sum obtained in subsection (B)(4)(a) by the number of payments included; and

    c.        Multiplying  the  quotient  obtained  in  subsection (B)(4)(b) by 52, 26, or 12 as applicable;

    5.        Counting the actual payments received by a family mem- ber, before deductions, for:

    a.        Interrupted income,

    b.        New income, and

    c.        Terminated income; and

    6.        Adding the dollar amounts calculated under subsections (B)(1) through (B)(5).

Historical Note

New Section made by final rulemaking at 12 A.A.R. 3990, effective December 4, 2006 (Supp. 06-4).