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I 61982 51 60 7. The Facility will use the following criteria in deterWininv indigency and residency: A. Length of time patient has resided in County. B. Existence of family and/or relatives presently living in the same household. C. If the patient has insurance, Workman's Compensation and/or receives Medicaid or Medicare. D. The existence of a savings or checking account. E. Value of property owned if any. F. Up to date record of employment. G. Driver License and/or Voter's Registration card. 8. The determination of indigency and residence will be made by the Facility immediately upon admission or soon thereafter as is practicable, taking into consideration the severity of the illness or injury. The source of the above information may be the individual admitted or any other party responsible for said minor individual. The results of the initial determination of indigency will be communicated to the Indian- - - River County-_Welfare _by- the -Facility-by tel.ephone_ar- eleacmmurucation -- -_- device, or if unavailable by the next most efficient means. Additionally, the Facility will document the information acquired and mail a copy to the Indian River County Welfare Department. 9. After investigation and certification of indigency and residency by the Director of the County Welfare Department, the Facility will be notified that the County Commission may accept limited responsibility for reimbursement of costs incurred in.behalf of the patient for eligible medical services. 10. Determining Factor: A. The County Welfare Department will only pay for emergency or acute cases. The determination of the severity of the illness will be left up to the Board of County Commissioner's, with the assistance of the Director of the Indian River County Health Department. B. The County Welfare will not reimburse for elective surgery or tests. Non-critical surgery will be reimbursed, but only in an emergency. C. The County Welfare Department does not accept responsibility for physicians services, arrangements must be made between the recipient and the physician. 11. Prior to any reimbursement and upon request by the Inman River County Welfare Department the Facility will forward a statement and schedule of services rendered to the resident indigent. 12. The Indian River County Welfare Department will then made a deter- mination as to whether the injury and illness is reimburseable under this procedure and other applicable rules and regulations. 13. The final decision for reimbursement of monies will be made ty the Board of County Commissioner's to the Facility. 72