{"hospital":{"ccn":"360059","name":"METROHEALTH SYSTEM","city":"CLEVELAND","state":"OH","zip":"44109","phone":"216-778-7089","ownership":"Voluntary non-profit - Other","website_domain":"metrohealth.org","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":null,"discount_tiers":{"value":[{"min_fpl_exclusive":"250","max_fpl_inclusive":"300","discount_percent":75},{"min_fpl_exclusive":"300","max_fpl_inclusive":"400","discount_percent":70}],"layer":"documented","quote":"|  |  |\n| --- | --- |\n| **% FPL** | **FAP Eligibility** |\n| At or under 100% | Resident: 100% discount of charges  Nonresident: 100% discount of charges |\n| 101-125% | Resident: 100% discount of charges  Nonresident: 100% discount of charges |\n| 126-150% | Resident: 100% discount of charges  Nonresident: 100% discount of charges |\n| 151-200% | Resident: 100% discount of charges  Nonresident: 100% discount of charges |\n| 201-250% | Cuyahoga County Resident: 100% discount of charges  Ohio Resident and Nonresident: 75% discount of charges; 100% discount for Trauma or Burn Care |\n| 251-300% | Cuyahoga County Resident: 75% discount of charges; 100% discount for Trauma or Burn Care  Ohio Resident or Nonresident: 70% discount of charges |\n| 301-400% | Cuyahoga County Resident: 70% discount of charges  Ohio Resident or Nonresident: 65% discount of charges |\n| Over 400% or Self-Pay | Cuyahoga County Resident: 65% discount of charges  Ohio Resident or Nonresident: 65% discount of charges |","source_id":"billing-28770ffefc94c332","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"asset_test":null,"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["photo_id","proof_of_income","social_security_letter","tax_return","pay_stubs","proof_of_residency"],"layer":"documented","quote":"Photo ID: • Current Photo ID such as Driver’s License, State Issued ID, Permanent Resident Card or Passport Residency: • Utility bill or other commercial mail received in your name within the last 60 days • Signed rental agreement • Passport or visa for citizens of other countries Family Members: • Your birth certificate and those of your minor children • Adoption documents of minor children • Marriage certificate or divorce decree Income: Documents describing gross income for the past 3-12 months including: • Current tax return, including W-2s, or proof of non-filing • Pay stubs from each employer • Report of gross income and dates of employment from temp agency • Social Security benefits • Pensions • Unemployment income • Workers Comp income • Self-employment income • Rental income • Letter of support • Other income Please Note: • We can also assist with identifying other medical benefit programs that may be available for you. • We can assist you with applications for other medical benefit programs. • All proof of income and residency must be current – within the last 60 days.","source_id":"fap-c190303fe51d6d8b","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":null,"window_days_from_first_bill":null,"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"216-957-2325","layer":"documented","quote":"call our Eligibility Team at (216) 957-2325","source_id":"fap-c190303fe51d6d8b","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"hours":null,"languages":{"value":["English","Spanish"],"layer":"documented","quote":"* [Required Documentation for Medicaid Assistance and Financial Assistance Program](/globalassets/metrohealth-documents/patients-and-visitors/billing/2026_financial_documentation_sheet-9-15-26.pdf)\n* [Required Documentation for Medicaid Assistance and Financial Assistance Program (haga clic aquí para español)](/globalassets/metrohealth-documents/patients-and-visitors/billing/2024_financial_documentation_sheet_spanish_1-9-24.pdf)","source_id":"billing-28770ffefc94c332","checked_on":"2026-10-14","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["MetroHealth System"],"layer":"documented","quote":"The MetroHealth System . 2500 MetroHealth Drive . Cleveland, Ohio 44109-1998 . www.metrohealth.org","source_id":"fap-c190303fe51d6d8b","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-ee422be69924d405","kind":"hospital_web","url":"https://mychart.metrohealth.org/MyChart/FAPopenscheduling.html","title":"Financial Assistance Services at MetroHealth","fetched_on":"2026-10-14","sha256":"ee422be69924d4058c0fca5a37078fc303f93fc1b1b4d2b3c04998af1b8148a9","effective_date":null},{"id":"billing-28770ffefc94c332","kind":"hospital_web","url":"https://www.metrohealth.org/en/patients-visitors/billing-finance/financial-assistance","title":"Financial Assistance - MetroHealth | Cleveland, OH","fetched_on":"2026-10-14","sha256":"28770ffefc94c33262b3fb4120f84606231444a639d79adc20516b6320117426","effective_date":null},{"id":"billing-ec55d3b85c3b7a2b","kind":"hospital_web","url":"https://metrohealth.org/en/patients-visitors/billing-finance/financial-assistance/financial-aid-changes","title":"MetroHealth Financial Aid Policy is Changing | MetroHealth","fetched_on":"2026-10-14","sha256":"ec55d3b85c3b7a2b48e20cafe4192d449ff3a1e80737422a03641decf4e25d6d","effective_date":null},{"id":"billing-8a89f0813a6a6f3b","kind":"hospital_web","url":"https://metrohealth.org/en/patients-visitors/billing-finance?item=web%3A%7B7DD9073A-94B5-47E5-BADB-9C7B34B96653%7D%40en","title":"Billing & Finance - MetroHealth | Cleveland, OH","fetched_on":"2026-10-14","sha256":"8a89f0813a6a6f3b4682843b61ce395dcbf6b1889fa9c7be8568b0856a3ef2ed","effective_date":null},{"id":"fap-96f571eadff1edfc","kind":"hospital_web","url":"https://www.metrohealth.org/globalassets/metrohealth-documents/financial-services/fap-approval-letter_final-10.15.25.pdf","title":"Financial Assistance Program Eligibility","fetched_on":"2026-10-14","sha256":"96f571eadff1edfc76c4cd891d0caac02123183c5c5b00458b903b3211b24293","effective_date":null},{"id":"fap-a7ba252adb762156","kind":"hospital_web","url":"https://www.metrohealth.org/globalassets/metrohealth-documents/financial-services/fap-approval-letter_final-10.15.25---span.pdf","title":"Financial Assistance Program Eligibility (haga clic aquí para español)","fetched_on":"2026-10-14","sha256":"a7ba252adb762156d946198ceffeb4bd80eb132c7cd47d6ab83ed651f3873d96","effective_date":null},{"id":"fap-c190303fe51d6d8b","kind":"hospital_web","url":"https://www.metrohealth.org/globalassets/metrohealth-documents/financial-services/mh-faphcap-information-sheet.pdf","title":"Financial Assistance Program and Hospital Care Assurance Program Information Sheet","fetched_on":"2026-10-14","sha256":"c190303fe51d6d8b78d6aff627c5a85c2217c979a939064940957f3370acc65b","effective_date":null},{"id":"fap-1634e0d87c6368b8","kind":"hospital_web","url":"https://www.metrohealth.org/globalassets/metrohealth-documents/financial-services/mh-faphcap-information-sheet-spanish.pdf","title":"Financial Assistance Program and Hospital Care Assurance Program Information Sheet (haga clic aquí para español)","fetched_on":"2026-10-14","sha256":"1634e0d87c6368b82433606fc92fecbbcfa587575d3b51358e920f00fa071201","effective_date":null}],"accuracy":null}