{"data":{"id":"us/42-cfr-124.507","jurisdiction":"us","citation":"42 CFR 124.507","heading":"Written determinations of eligibility.","body":"(a) Determinations of eligibility must be in writing, be made in accordance with this section, and a copy of the determination must be provided to the applicant promptly.\n(b) Content of determinations—(1) Favorable determinations. A determination that an applicant is eligible must indicate:\n(i) That the facility will provide uncompensated services at no charge or at a specified charge less than the allowable credit for the services;\n(ii) The date on which services were requested;\n(iii) The date on which the determination was made;\n(iv) The applicant's individual or family income, as applicable, and family size; and\n(v) The date on which services were or will be first provided to the applicant.\n(2) Conditional determinations. (i) As a condition to providing uncompensated services, a facility may:\n(A) Require the applicant to furnish any information that is reasonably necessary to substantiate eligibility; and\n(B) Require the applicant to apply for any benefits under third party insurer or governmental programs to which he/she is or could be entitled upon proper application.\n(ii) A conditional determination must:\n(A) Comply with paragraph (b)(1) of this section; and\n(B) State the condition(s) under which the applicant will be found eligible.\n(iii) When a facility determines that the condition(s) upon which a conditional determination was made has been met, or will not be met, it shall make a favorable determination or denial on the request, as appropriate, in accordance with this section.\n(3) Denials. A facility must provide to each applicant denied the uncompensated services requested, in whole or in part, a dated statement of the reasons for the denial.\n(c) Timing of determinations—(1) Preservice determinations. (i) Facilities other than nursing homes shall make a determination of eligibility within two working days following a request for uncompensated services which is made before receipt of outpatient services or before discharge for inpatient services;\n(ii) Nursing homes shall make a determination of eligibility within ten working days, but no later than two working days following the date of admission, following a request for uncompensated services made prior to admission.\n(2) Postservice determinations. All facilities shall make a determination of eligibility not later than the end of the first full billing cycle following a request for uncompensated services which is made after receipt of outpatient services, discharge for inpatient services, or admission for nursing home services.","path":["Title 42—Public Health","CHAPTER I—PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER K—HEALTH RESOURCES DEVELOPMENT","PART 124—MEDICAL FACILITY CONSTRUCTION AND MODERNIZATION","Subpart F—Reasonable Volume of Uncompensated Services to Persons Unable To Pay"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"42d1967d899d5c98946ab672444ad03ae9efa5e916836db81d722e9aca89af01","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-124.506","next":"us/42-cfr-124.508"},"notice":"GroundRules: Original legal text. Not legal advice."}