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2. Notify the,Applicant of this determination. <br /> C. If the Designated Personnel determine that the Applicant qualifies for Hardship <br /> Waivers, then they shale: <br /> 1. Complete a Hardship Waivers Certification Form indicating that the income <br /> threshold level has been met, that the Applicant is uninsured or underinsured and <br /> recommend the level of Hardship Waivers to be provided. The Hardship Waivers <br /> Certification Form should be filed with the Patient Care Report; and <br /> 2. Notify the Applicant after final approval of the determination and advise the <br /> Applicant of the amount of the Hardship Waivers. <br /> IV. OBLIGATIONS OF NSMT PERSONNEL <br /> A, Under no circumstances will NSMT 's employees, or anyone acting on behalf of NSMT, offer <br /> any Hardship Waivers to NSMT 's patients, or potential patients. <br /> B. NSMT's employees shall not advertise the availability of Hardship Waivers in any way. <br /> C. Employees shall direct any questions regarding Hardship Waivers to NSMT Billing Contractor. <br /> POLICY REVIEW <br /> The NSMT Compliance Officer will review and update this Policy and all Compliance policies when <br /> necessary in the normal course of its review of the NSMT Compliance Program. <br /> 34 <br />