The guidelines no longer include a definition of "income." However, Hill-Burton facilities are required to use the statistical definition of income previously provided in the guidelines. Virgin Islands, American Samoa, Guam, the Republic of the Marshall Islands, the Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, and Palau are to use the poverty guidelines for the "48 Contiguous States and the District of Columbia." Facilities certified under one of the uncompensated services compliance alternatives are not required to use these guidelines, although they are permitted to do so.įacilities located in Puerto Rico, the U.S. These guidelines replace the Poverty Guidelines published on January 17, 2020. Effective April 1, 2021, the revised Poverty Guidelines must be used in making determinations of eligibility for uncompensated services. Revised Poverty Guidelines were issued on February 1, 2021, by the Department of Health and Human Services.
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