Maryland Request for Final Waiver of Open Costs

State:
Maryland
Control #:
MD-SKU-0340
Format:
PDF
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Description

Request for Final Waiver of Open Costs

The Maryland Request for Final Waiver of Open Costs is a form used by the Maryland Department of Health to waive medical costs for individuals who are unable to pay for medical services due to financial hardship. The waiver is granted when an individual’s income does not exceed two hundred percent of the Federal Poverty Level, and they are unable to pay for treatment or services related to a specific medical condition. The form must be completed and submitted to the Maryland Department of Health for approval. There are two types of Maryland Request for Final Waiver of Open Costs: 1. Maryland Request for Final Waiver of Open Costs for Medical Services: This is used for individuals who need to waive medical services costs due to financial hardship. 2. Maryland Request for Final Waiver of Open Costs for Prescription Drugs: This form is used for individuals who need to waive prescription drug costs due to financial hardship.

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FAQ

Rule 1-325 - Waiver of Costs Due to Indigence-Generally (a) Scope. This Rule applies only to (1) original civil actions in a circuit court or the District Court and (2) requests for relief that are civil in nature filed in a criminal action.

If you need information about court records, there is a valuable on-line tool that can help. It's called Maryland Judiciary Case Search or just ?Case Search.? To get started visit mdcourts.gov/casesearch.

All attorneys will be required to file electronically in Prince George's County effective October 17, 2022. MDEC has been implemented in all courts with the exception of Baltimore City.

If you do not pay the fee as required, your case will be considered to have been withdrawn and no further action will be taken by the court.

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Maryland Request for Final Waiver of Open Costs