Financial Assistance

List All page
(PDF)
1401.00 Financial Assistance Policy
04/29/2026
(PDF)
Billing and Collection Process Policy-English
04/29/2026
(PDF)
Billing and Collection Process Policy-Hmong
10/31/2025
(PDF)
Billing and Collection Process Policy-Somali
10/31/2025
(PDF)
Billing and Collection Process Policy-Spanish
10/31/2025
(PDF)
Billing and Collection Process Policy-Vietnamese
10/31/2025
(PDF)
Billing and Collection Process-Russian
10/31/2025
(PDF)
Childrens Financial Assistance Application-AR
08/16/2022
(PDF)
Childrens Financial Assistance Application-English
08/16/2022
(PDF)
Childrens Financial Assistance Application-Hmong
08/16/2022
(PDF)
Childrens Financial Assistance Application-Karen
08/16/2022
(PDF)
Childrens Financial Assistance Application-Russian
08/16/2022
(PDF)
Childrens Financial Assistance Application-Somali
08/16/2022
(PDF)
Childrens Financial Assistance Application-Spanish
08/16/2022
(PDF)
Childrens Financial Assistance Application-Vietnamese
08/16/2022
(PDF)
Collection Agency
04/29/2026
(PDF)
Financial Assistance Policy-Hmong
06/28/2017
(PDF)
Financial Assistance Policy-Russian
06/03/2026
(PDF)
Financial Assistance Policy-Somali
06/03/2026
(PDF)
Financial Assistance Policy-Spanish
06/03/2026
(PDF)
Financial Assistance Policy-Vietnamese
06/03/2026
(PDF)
Financial Assistance Summary-AR
06/03/2026
(PDF)
Financial Assistance Summary-English
06/03/2026
(PDF)
Financial Assistance Summary-Hmong
06/03/2026
(PDF)
Financial Assistance Summary-Karen
06/03/2026
(PDF)
Financial Assistance Summary-Russian
09/11/2025
(PDF)
Financial Assistance Summary-Somali
09/11/2025
(PDF)
Financial Assistance Summary-Spanish
09/11/2025
(PDF)
Financial Assistance Summary-Vietnamese
09/11/2025
(PDF)
Master Financial Asst Grid with AGB
09/29/2025
(PDF)
Providers Covered
08/12/2025
(PDF)
Providers Not Covered
08/12/2025
(PDF)
Uninsured Discount Program
04/29/2026