Client Insurance Information and Financial Participation: 03-12
Financial
Policy: 03-12 Client Insurance Information and Financial
Participation
Attachments
Attachment A: Uniform Method of Determining Ability to
Pay (UMDAP) Fee Schedule and Asset Allowance Schedule
Attachment B : Roles and Responsibilities for Client
Information and Financial Screening
Attachment C: San Mateo Mental Health Guide to Payor
Financial Information (PFI) Requirements
Attachment D: Payer Financial Information
Attachment E: What You Need To Know about Payment for Mental
Health Services English Spanish
Attachment F: Therapeutic Fee Adjustment Request Forms