Title X Program Requirement 8.4 Charges, Billing, and Evidence that this requirement has been met includes: Collections Delegate has policies and procedures assuring 1. Delegate Policies that clients whose documented income is at or Clients whose documented below 100% FPL are not charged for services and income is at or below 100% that third party payers are billed. 2. Financial of the Federal Poverty Level charges (FPL) must not be charged, Financial documentation at the service site although projects must bill indicates clients whose documented income is at all third parties authorized or below 100% FPL are not charged for services. or legally obligated to pay for services (Section 3. Financial Documentation- Third 1006(c)(2), PHS Act; 42 Financial documentation at the service site Party Billing CFR 59.5(a)(7)). indicates that if a third party is authorized or legally obligated to pay for services, the project Although not required to do has billed accordingly. so, grantees that have lawful Service follow a written policy and 4. Delegate Policies for Verifying access to valid means procedure for verifying client income that is Income of income verification aligned with Title X requirements. because of the client’s Service site policy and procedures for verifying participation in another client income does not present a barrier to receipt program may use those data of services. rather than re-verify income 5. Delegate Policy and Procedures or rely solely on the client’s self-report. 8.4.2 A schedule of discounts, Evidence that this requirement has been met includes: on ability to pay, is Delegate has policies and procedures requiring 1. Delegate Policies and Procedures required for individuals with that a schedule of discounts be developed for family incomes between services provided in the project and updated 101% and 250% of the periodically to be in line with the FPL. Federal Poverty Level 2. Documentation at Service Site
Title X Program Requirement 8.4 Charges, Billing, and Collections Clients whose documented income is at or below 100% of the Federal Poverty Level (FPL) must not be charged, although projects must bill all third parties authorized or legally obligated to pay for services (Section 1006(c)(2), PHS Act; 42 CFR 59.5(a)(7)). Although not required to do so, grantees that have lawful access to valid means of income verification because of the client’s participation in another program may use those data rather than re-verify income or rely solely on the client’s self-report. Evidence that this requirement has been met includes: Delegate has policies and procedures assuring that clients whose documented income is at or below 100% FPL are not charged for services and that third party payers are billed. Financial documentation at the service site indicates clients whose documented income is at or below 100% FPL are not charged for services. Financial documentation at the service site indicates that if a third party is authorized or legally obligated to pay for services, the project has billed accordingly. Service follow a written policy and procedure for verifying client income that is aligned with Title X requirements. Service site policy and procedures for verifying client income does not present a barrier to receipt of services. 1. Delegate Policies 2. Financial charges 3. Financial Documentation- Third Party Billing 4. Delegate Policies for Verifying Income 5. Delegate Policy and Procedures 8.4.2 A schedule of discounts, on ability to pay, is required for individuals with family incomes between 101% and 250% of the Federal Poverty Level Evidence that this requirement has been met includes: Delegate has policies and procedures requiring that a schedule of discounts be developed for services provided in the project and updated periodically to be in line with the FPL. 1. Delegate Policies and Procedures 2. Documentation at Service Site