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We are reviewing our policies and came across a “Refusal to Pay” policy. We don’t turn anyone away. Do we need this policy according to HRSA?
A refusal to pay policy is not a requirement according to the HRSA Compliance Manual and HRSA OSV Protocol. In review of Chapter 16: Billing and Collections, Element j, located at https://bphc.hrsa.gov/sites/default/files/bphc/programrequirements/pdf/billing-collections.pdf, a refusal to pay policy is specifically required only IF the health center decides to limit or deny services based on a patient’s refusal to pay. If a health center decides to deny services to patients that refuse to pay, then the following MUST be in a board-approved policy:
All of these bullets must be included and clearly defined in the policy, and the policy must be board approved.