| AlabamaAL | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextBirmingham and Huntsville metros are primary centers with moderate practice density; lower cost of living than coastal states may support more modest typical deposits. |
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| AlaskaAK | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextPopulation and practices heavily concentrated in Anchorage metro; sparse rural coverage elsewhere with higher logistical and travel costs for patients that can influence no-show patterns and deposit sizing. |
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| ArizonaAZ | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextPhoenix and Tucson metros feature growing retiree and snowbird populations that support higher volumes of elective dermatology, med spa, and dental practices; moderate cost of living. |
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| ArkansasAR | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextLittle Rock is the dominant center with lower overall practice density and cost of living compared to national coastal averages. |
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| CaliforniaCA | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Medi-Cal patients may not be charged no-show or missed appointment fees per state guidelines and federal CMS principles; providers must accept Medi-Cal payment as payment in full for covered services. | high | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. Medi-Cal patients may not be charged per state guidelines and provider agreements. MedicaidMedi-Cal patients may not be charged no-show or missed appointment fees per state guidelines and federal CMS principles; providers must accept Medi-Cal payment as payment in full for covered services. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyCMIA (Confidentiality of Medical Information Act) applies to healthcare providers' handling of medical information in addition to HIPAA; appointment reminders should limit disclosed details accordingly. Market contextLos Angeles, San Francisco Bay Area, and San Diego metros have high densities of dermatologists, med spas, specialty dentists, and salons; elevated cost of living often supports larger typical deposits for elective and high-value services. |
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| ColoradoCO | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal and state policy (Health First Colorado) explicitly prohibit charging Medicaid members for missed or canceled appointments; providers cannot hold members financially liable or require liability forms. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. The state Medicaid program explicitly prohibits charging members for missed appointments. MedicaidFederal and state policy (Health First Colorado) explicitly prohibit charging Medicaid members for missed or canceled appointments; providers cannot hold members financially liable or require liability forms. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextDenver metro and Front Range corridor have significant practice density with moderate-to-high cost of living that can affect typical deposit amounts for appointment-based services. |
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| ConnecticutCT | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextHartford-New Haven and Fairfield County areas have dense suburban and urban practices serving higher-income populations with elevated cost of living. |
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| DelawareDE | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextWilmington and Dover areas with moderate density; proximity to larger Philadelphia and Baltimore markets influences patient flows and practice economics. |
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| District of ColumbiaDC | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and the District Medicaid program generally prohibit providers from charging beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and the District Medicaid program generally prohibit providers from charging beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Deposit / consumerConsumer protection requirements generally mandate clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified. PrivacyNo separate state-specific privacy note in this dataset. Market contextHigh density of medical, dental, and specialty practices in the District and surrounding metro serving a large professional, government, and transient population with elevated urban costs. |
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| FloridaFL | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextMiami, Orlando, Tampa, and Jacksonville metros have large retiree and tourism-driven markets with high concentrations of cosmetic dermatology, med spas, and elective dental/salon practices. |
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| GeorgiaGA | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextAtlanta metro dominates with high practice density across specialties; growing suburban markets and moderate cost of living. |
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| HawaiiHI | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextHonolulu and other island population centers; high cost of living and tourism-driven demand for elective services such as med spas and cosmetic dentistry. |
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| IdahoID | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextBoise metro is the main concentration; overall lower practice density and cost of living in a more rural state. |
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| IllinoisIL | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextChicago metro has one of the highest concentrations of specialty and general practices serving dense urban and suburban populations with moderate-to-high operating costs. |
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| IndianaIN | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextIndianapolis metro and other mid-sized cities with solid practice density; lower cost of living relative to coastal markets. |
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| IowaIA | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextDes Moines and Cedar Rapids/Iowa City areas; lower practice density outside major centers and lower cost of living. |
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| KansasKS | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextWichita and Kansas City metro (KS side) with moderate density; lower cost of living and more rural character outside urban cores. |
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| KentuckyKY | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextLouisville and Lexington metros; moderate density with lower cost of living than many larger coastal states. |
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| LouisianaLA | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextNew Orleans and Baton Rouge metros with notable practice presence; lower cost of living in many areas. |
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| MaineME | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextPortland and southern Maine concentration; lower overall density and rural character with lower cost of living. |
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| MarylandMD | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextBaltimore and Washington DC suburbs have high practice density serving dense professional populations with elevated costs in many areas. |
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| MassachusettsMA | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. State Medicaid enforcement actions have addressed improper billing of MassHealth patients for no-shows. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextBoston metro has very high density of specialty practices including dermatology and med spas; high cost of living supports larger deposits in many elective services. |
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| MichiganMI | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextDetroit metro and Grand Rapids have significant practice concentrations; mixed urban/suburban markets with moderate costs. |
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| MinnesotaMN | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. Provider agreements for the state Medicaid program (MHCP) prohibit charging beneficiaries for missed appointments. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextMinneapolis-St. Paul metro has high practice density; moderate-to-high cost of living in a major healthcare hub. |
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| MississippiMS | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextJackson metro primary center; lower practice density and lower cost of living in a more rural state. |
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| MissouriMO | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextSt. Louis and Kansas City metros; moderate density with lower cost of living than coastal markets. |
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| MontanaMT | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextLow overall practice density outside Billings and Bozeman; rural character and lower cost of living. |
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| NebraskaNE | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextOmaha and Lincoln metros; moderate density with lower cost of living. |
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| NevadaNV | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextLas Vegas metro has high concentration of med spas, cosmetic dermatology, and elective practices driven by tourism and local demand; moderate cost of living in key areas. |
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| New HampshireNH | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextManchester-Nashua and southern NH concentration near Boston; moderate density with lower cost of living than Massachusetts. |
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| New JerseyNJ | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextNorthern NJ (Newark, Jersey City) and central/south Jersey areas form part of the dense NYC-Philadelphia corridor with high practice density and elevated costs. |
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| New MexicoNM | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextAlbuquerque metro primary; lower density overall and lower cost of living with significant rural areas. |
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| New YorkNY | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | New York State Medicaid guidance states that beneficiaries cannot be billed for failed appointments except for required copayments; charging for missed appointments is unlawful. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. Proposed legislation in the 2025-2026 session sought to limit physician missed appointment fees in cases with patient notice or excessive waits; verify current enacted law. MedicaidNew York State Medicaid guidance states that beneficiaries cannot be billed for failed appointments except for required copayments; charging for missed appointments is unlawful. Deposit / consumerNew York Attorney General guidance indicates that credit card preauthorization or card-on-file may be required for non-medically necessary elective services but is generally voluntary for medically necessary care; clear disclosure and authorization remain required under consumer protection rules. PrivacyNo separate state-specific privacy note in this dataset. Market contextNew York City metro has one of the highest concentrations of specialists, dermatologists, med spas, and appointment-based practices in a high-cost, high-competition urban environment. |
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| North CarolinaNC | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextCharlotte, Raleigh-Durham, and Triangle area have strong growth and high practice density; moderate cost of living with expanding suburban markets. |
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| North DakotaND | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextFargo and Bismarck primary centers; very low practice density outside urban areas and lower cost of living. |
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| OhioOH | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextCleveland, Columbus, Cincinnati, and Dayton metros provide high practice density across a large state with mixed urban and suburban markets and moderate costs. |
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| OklahomaOK | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextOklahoma City and Tulsa metros; moderate density with lower cost of living. |
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| OregonOR | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextPortland metro dominates with high practice density; higher cost of living in urban areas. |
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| PennsylvaniaPA | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextPhiladelphia and Pittsburgh metros plus Harrisburg and Allentown areas provide high practice density across a large population with varied cost structures. |
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| Rhode IslandRI | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextProvidence metro serves the small state with high practice density relative to size and elevated costs in the Northeast corridor. |
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| South CarolinaSC | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextCharleston, Columbia, and Greenville-Spartanburg areas with growing practice density; lower cost of living than many Northeast or West Coast states. |
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| South DakotaSD | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextSioux Falls and Rapid City primary; low overall density and lower cost of living in a rural state. |
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| TennesseeTN | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextNashville, Memphis, and Knoxville-Chattanooga metros have strong practice density with growing healthcare and elective service sectors; moderate cost of living. |
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| TexasTX | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Texas Medicaid does not allow patients to be billed for missed appointments; providers should consider transportation barriers and follow program guidance rather than charging. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. Workers' compensation patients may not be charged fees for missed appointments under the Texas Labor Code. MedicaidTexas Medicaid does not allow patients to be billed for missed appointments; providers should consider transportation barriers and follow program guidance rather than charging. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextDallas-Fort Worth, Houston, Austin, and San Antonio are large, fast-growing markets with diverse patient mix, significant self-pay/high-deductible populations, and high volumes of elective and specialty practices. |
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| UtahUT | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextSalt Lake City metro dominates with high growth and practice density; moderate cost of living with strong family and professional demographics. |
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| VermontVT | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextBurlington and Chittenden County concentration; low overall density and rural character with moderate costs. |
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| VirginiaVA | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextNorthern Virginia (DC suburbs), Richmond, and Hampton Roads have high practice density serving dense professional and military populations with elevated costs in many areas. |
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| WashingtonWA | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextSeattle-Tacoma metro has very high practice density in tech and professional corridors; high cost of living supports larger deposits for many services. |
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| West VirginiaWV | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextCharleston and Huntington areas; lower overall density and lower cost of living in a more rural, mountainous state. |
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| WisconsinWI | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextMilwaukee and Madison metros with solid practice density; moderate cost of living. |
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| WyomingWY | Practices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). | Federal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. | medium | Open all fieldsNo-show feePractices may generally charge reasonable no-show or cancellation fees for private-pay and commercially insured patients if the policy is disclosed in advance in writing (e.g., patient financial agreement, website, or signage), the amount is not excessive, and the policy is applied uniformly (including to Medicare beneficiaries if fees are charged to them). Fees cannot be submitted to insurance. Medical and dental boards typically emphasize that fees should not act as a barrier to care. MedicaidFederal CMS policy and state Medicaid programs generally prohibit providers from charging Medicaid beneficiaries for missed or canceled appointments, viewing them as part of the cost of doing business rather than billable services. Providers must accept program payment as payment in full for covered services. Specific state manuals should be consulted. Deposit / consumerState consumer protection laws (unfair or deceptive acts and practices statutes) generally require clear prior written disclosure and patient authorization before imposing or charging any appointment deposit or using a card-on-file. Terms for when the deposit is forfeited or card charged must be specified. No broad prohibitions on reasonable deposits for private appointments were identified, though requirements for elective versus medically necessary services may differ in interpretation. PrivacyNo separate state-specific privacy note in this dataset. Market contextVery low practice density outside Cheyenne and Casper; rural and low population with lower cost of living. |
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