It's illegal to use a sliding scale for anything that Medicaid covers.  You
can't charge them more than you would charge a client.

Joyce Coleman, RN, IBCLC

-----Original Message-----
From: Jim & Winnie Mading [mailto:[log in to unmask]]
Sent: Wednesday, December 11, 2002 10:39 AM
To: [log in to unmask]
Subject: Re: fee or free


Kathleen asks:
Why not have a sliding scale for those moms who need it?

Unfortunately, I don't think hospitals can do this - I believe it
becomes "discriminatory".  Insurance, if they cover, will say if we
can charge less to some, then that's all they will cover for
anyone.  I fully agree that sliding scales are the most fair, and
certainly can be done in private practice and some clinic settings.
Is there anyone hopsital based that uses sliding scales?  I would
certainly suggest it, but I won't be holding my breath for a
positive response!

Winnie

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