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A. <br />EXHIBIT B <br />Page 2 <br />3. A determination that the patient is acutely ill or injured and that <br />hospitalization is essential to the patient's treatment will be made <br />for each recipient of hospitalization under this program by a physician, <br />duly licensed to practice medicine in this State; <br />4. Authorizations for hospitalization under this program shall be made <br />by the f-,,4.,, 'R i ver County Health Department; <br />5. Payments for hospitalization from the " India4, 7? ver County Indigent <br />Hospitalization Fund" will be limited to the non-profit basic cost to <br />the hospital for providing essential hospital care to the medically <br />indigent patient; <br />6. Payments for hospitalization from the" +ver County "Indigent <br />Hospitalization Fund" will be made by this Board to the hospital providing <br />essential hospital care to medically indigent and acutely ill or injured <br />residents of jrci;ay, "R �v er County whose hospitalization has been authorized <br />under the provisions of this program by the County Health <br />Department. <br />7. A record will be maintained by this Board of all expenditures made from <br />the " 'County Indigent Hospitalization Fund" and these records <br />shall include: <br />a. The patient's name, age, sex and race; and, if married, the full <br />name of the patient's spouse. <br />b. The parents' full names if the patient is a minor. <br />c. Patient's address. <br />d. Name of physician who diagnosed patient and certified hospitalization <br />essential to his treatment. <br />e. Physician's diagnosis. <br />f. The calendar days of hospitalization received, <br />g. A record•of payment to this hospital; <br />BE IT FURTHER RESOLVED, that this Board will make all medical and financial <br />'records supporting direct expenditures from the"bid;Q,r, River County Indigent Hospital- <br />ization Fund" available for review by the State Board of Health, and this Board will <br />submit at least monthly to the State Board of Health a certification identifying <br />hospitalized cases and the payments for the case of each made from the " In d;Qm fiver <br />County Indigent Hospitalization Fund," together with a statement of expenditures, <br />certifying that all such payments were made in accordance with the provisions,of <br />Chapter 401, supra, and on the basis of such requisition this Board will request the <br />State Board of Health to authorize direct payments to the•Irdicvh 9iv e r County Board <br />of County Commil;sioners or other local official agency from,64a►i ever County's share <br />of the State appropriation for this program, less any -charges that may have_been paid <br />to hospitals outside,of WtVer County by the State.Board of Health for necessary <br />emergency treatment of indigent hw(4i /�` Wr County residents; and, <br />BE IT FURTHER RESOLVED, that all payments received from the State of Florida <br />through this program shall augment the " WIZ[ii►.. Rtver County Indigent Hospitalization <br />Fund," and shall be expended in addition to County Funds herein appropriated in accord- <br />ance with County Annual Budget Statute,,Chapter 129, Florida Statutes; and, <br />BE IT FURTHER RESOLVED, that a certified en <br />copy of this Resolution be submitted to <br />the 1,n d ict�v, <br />ver Medical Society, the 1'nd:4m Mier County Health Department and the <br />State Board of Health. <br />VALPH /'4R4'1S, CLE7�K <br />pe-Pvey c z exy' J <br />win 1_ 1 it <br />i <br />