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RIV]EM COUNTY MFARE DEPART 2ITT PROCEDURES AND LIidITATICNS FOR <br />HOSPITAL CARE TO RESIDENT INDIGENT PATIENTS <br />It is the intention of the Indian River County Welfare Department to <br />provide a system for reimbursement of costs incurred by eligible medical <br />facilities in providing medical services to indigent patients who are <br />residents of Indian River County. <br />This goal shall be obtained in accordance with the Health Care <br />Responsibility Act and the following guidelines set forth by the County <br />Commission for the County Welfare Department. <br />'_. Definitions: <br />A. Facility - A Non -Regional Hospital located in Indian River <br />County, Florida. <br />- ---- --- - - -B.-Res:ied_e-t----A�-person -that has established permanent residency - <br />with the intent to remain in Indian River County. <br />C. Regional Referral Facility - any Hospital outside county where <br />indigent resides. <br />2. The Facility will notify the Indian River County Welfare Depart- <br />ment before the expiration of five (5) days after the admission of any <br />resident indigent patient to the Facility. <br />3. In all cases where an indigent is admitted for a stay not in <br />excess of five (5) days notification will be given to the Indian River <br />County Welfare Department immediately, if the Department offices are open <br />or immediately upon their reopening on the next business day. <br />4. Any Facility that fails to comply with the reporting procedures <br />outlined herein will be denied reimbursement. <br />5. Certification when given shall be -limited -according -to the <br />following provisions: <br />A. Certification shall be limited to twelve (12) calendar days <br />per admission and forty-five (45) calendar days per annum, reimbursement <br />shall be at the current Medicaid -per -diem -rate. - <br />B. If after ten (10) days hospitalization, it appears that the <br />patient will need additional days over the initial twelve (12) days, the <br />attending physician must write a brief summary giving reason 1. why the <br />patient needs the extention on the twelve (12) days. Failure to provide <br />written justification for any additional days used, would result in denial <br />for reimbursement for -the excess days. <br />6. The Facility will make the preliminary determination of the indigent <br />resident's ability to pay for services rendered by the Facility. If after an <br />investigation of the existence of other third party payors the Facility pre- <br />liminarily determines that the Indian River County resident is unable to pay <br />for the services rendered, then the Facility will immediately communicate <br />its preliminary determination to the Indian River County Welfare Department. <br />The Facility's preliminary determination of indigency is not binding upon <br />the Indian River County Welfare Departmeat but is required to apprise the <br />Department of the existence of prospective indigent cases. <br />71 <br />51 6C4 <br />OCT 6 1982 <br />a �Qx �� <br />� J <br />