In compliance with the No Surprises Act that went into effect January 1, 2022, all healthcare providers are required to notify patients of their federal rights and protections against “surprise billing.”
This Act requires that we notify patients of their federally protected rights to receive a notification when services are rendered by an out-of-network provider, if a patient is uninsured, or if a patient elects not to use their insurance.
Additionally, if you become a patient of Peninsula Mental Health, we are required to provide you with a Good Faith Estimate of the cost of services. It is a federal requirement that we have each patient sign the Good Faith Estimate to begin/resume treatment.
It is difficult to determine the true length of treatment for mental health care, and each patient has a right to decide how long they would like to participate in treatment. We will collaborate with you on a regular basis to determine how many sessions you may need.
GOOD FAITH ESTIMATE FOR HEALTHCARE ITEMS AND SERVICES
OPEN PAYMENTS NOTICE AB 1278
AB 1278 Notification Requirements (Open Payments Notice):
requires physicians to do the following beginning January 1, 2023
1) At the initial office visit with their patient, a physician must provide either a written or electronic notice of the Database that includes the following text:
“The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. It can be found at openpaymentsdata.cms.gov
- If physicians use electronic health records systems, they must include a record of this notice in the patient’s records.
- If the physician uses a paper-based records system, then the written notice to the patient must include a signature from the patient (or their representative) and a date of signature. Further, a copy of the written notice must be provided to the patient (or their representative) and included in the patient’s records.
2) Post a notice regarding the database at each location where the physician practices, in an area likely to be seen by all persons.
That notice must include a link to the database and the following text:
“For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.”
If a physician is employed by a health care employer, that employer is responsible for meeting this requirement.