Financial Assistance

List All page
(PDF)
1401.00 Financial Assistance Policy
03/22/2024
(PDF)
Billing and Collection Process Policy-English
03/22/2024
(PDF)
Billing and Collection Process Policy-Hmong
06/29/2017
(PDF)
Billing and Collection Process Policy-Somali
06/29/2017
(PDF)
Billing and Collection Process Policy-Spanish
06/29/2017
(PDF)
Billing and Collection Process Policy-Vietnamese
06/28/2017
(PDF)
Billing and Collection Process-Russian
06/28/2017
(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
03/22/2024
(PDF)
Financial Assistance Policy-Hmong
06/28/2017
(PDF)
Financial Assistance Policy-Russian
06/28/2017
(PDF)
Financial Assistance Policy-Somali
06/28/2017
(PDF)
Financial Assistance Policy-Spanish
06/28/2017
(PDF)
Financial Assistance Policy-Vietnamese
06/28/2017
(PDF)
Financial Assistance Summary-AR
08/16/2022
(PDF)
Financial Assistance Summary-English
03/26/2024
(PDF)
Financial Assistance Summary-Hmong
08/16/2022
(PDF)
Financial Assistance Summary-Karen
08/16/2022
(PDF)
Financial Assistance Summary-Russian
08/16/2022
(PDF)
Financial Assistance Summary-Somali
08/16/2022
(PDF)
Financial Assistance Summary-Spanish
08/16/2022
(PDF)
Financial Assistance Summary-Vietnamese
08/16/2022
(PDF)
Master Financial Asst Grid with AGB
08/27/2020
(PDF)
Providers Covered
06/21/2023
(PDF)
Providers Not Covered
06/21/2023
(PDF)
Uninsured Discount Program
03/22/2024