Arkansas Administrative Code
Agency 004 - DEPARTMENT OF CORRECTIONS
Rule 004.00.91-017 - Inmate Emergency Medical Expenses Incurred while in County Jails
Universal Citation: AR Admin Rules 004.00.91-017
Current through Register Vol. 49, No. 9, September, 2024
810 Inmate Emergency Medical Expenses Incurred while in County Jails
I.
AUTHORITY:
The Board of Correction is vested with the authority to promulgate administrative regulations by Act 50 of 1968, First Extraordinary Session, as amended; and by the Administrative Procedures Act, (Act 434 of 1967 as amended).
Specific pieces of legislation implemented, in part, through this administrative regulation are Act 309 of 1983; Acts 329, 574, and 1112 of the 1991, Regular Session.
II.
PURPOSE:
Establishes the criteria for payment of certain medical expenses, incurred with proper approval/ associated with emergent medical needs for eligible felons serving sentences or assigned to designated programs in county jails, and outlines procedures to be followed by counties in submitting such bills for payment.
III.
APPLICABILITY:
The staff of Field Services, all convicted felons with signed commitment orders incarcerated in county jails, county sheriffs and supervisors of county detention facilities.
IV.
DEFINITIONS:
A.
Eligible - those
individuals, convicted of felonies, on whom valid commitment orders have been
signed, and who, pursuant to that commitment order or through a program of the
Arkansas Department of Correction, are, at the time of the illness or injury,
incarcerated in the county jail (including individuals on work programs, whose
residence is in the county jail). Felons newly committed to the Arkansas
Department of Correction do not become eligible until 30 days after the signing
of the commitment order. Individuals transferred to the county jail contract
program as a regular transfer (Act 309) or placed in the county jail by a
parole officer are immediately eligible.
B.
Appropriate
Approval - approval obtained through the office of the
Administrator of Medical Services prior to the rendering of health care. In
true emergency situations, care may be rendered without prior approval. The
Administrator of Medical Services is to be notified of such emergency events
within 24 hours and provide approval for any necessary continued
care.
C.
Emergent
Medical Need - Illness or injury which threatens life or limb,
causes undue or avoidable suffering, subjects the individual to further risk,
or is likely to cause deterioration of health status if not promptly treated.
Health conditions resulting from injuries or illnesses preceding eligibility
(defined in section A, above), and chronic conditions do not qualify, unless
the condition presents an emergent threat as defined above.
D.
Medical Expenses
- expenses associated with diagnosis and/or treatment of an emergent injury or
illness, as billed by the health care service provider.
E.
Designated
Programs - programs established under Section 9 of Act 50 of the
First Extraordinary Session of 1968; programs established by Act 309 of 1983;
and Acts 329, 574 and 1112 of 1991. Inmates on county jail backup are not
participating in a designated program (Act 574) until 30 days after their
commitment papers are signed.
V.
POLICY:
The Arkansas Department of Correction shall upon legal responsibility, and contingent on appropriation and availability of funds, pay certain medical expenses for eligible felons housed in county jails.
VI.
PROCEDURE:
A. If a
convicted felon is known to have a preexisting health condition likely to
necessitate treatment or requiring a level of monitoring not available in the
county facility/ the Administrator of Medical Services should be notified. A
determination will be made as to whether the seriousness of the condition and
the potential expense to the county warrant bringing the individual into the
Department of Correction on the basis of a medical emergency.
B. Should an individual with a preexisting
condition need treatment on an emergency basis (loosely defined in terms of a
situation that would lead a prudent family to take the affected family member
to a hospital emergency room), the sheriff or deputy should notify the
Administrator of Medical Services as soon as possible.
C. Routine care for preexisting conditions is
the responsibility of the agency having physical custody or the individual. If
a convicted felon is on furlough or is otherwise living in the community, the
Department assumes no responsibility for any of the individual's medical
expenses.
D. Illness or injury
requiring medical care to an individual in the physical custody of the county
shall be reported as promptly as possible to the Administrator of Medical
Services, who will approve the treatment to be (being) rendered and/or
recommend transfer to the Department of Correction.
E. As a matter of record, the sheriff shall
cause a description of the incident and the types of medical services used to
be logged on the "Health Incident Form," (810-HIF). This form must be signed by
the sheriff or deputy attesting that the services received are properly billed.
This form shall be sent to the attention of the Administrator of Medical
Services.
F. All bills relating to
diagnosis and treatment of a particular illness or injury should be attached to
810-HIF and sent at one time. At the same time, the individual receiving
treatment is to be asked to sign a Release of Medical Information form to the
primary service provider, in order for medical records to be sent to the
Administrator of Medical Services. If the individual refuses to sign for
release of information/ the other side of the form should be signed, indicating
that the individual or some family member accepts responsibility for the
bills.
G. Bills will be handled
through the department's Utilization Review mechanism and processed for payment
directly to the provider.
H.
Medical costs may be paid only to the limits of legal liability, legislative
appropriation and the availability of funds for this purpose. Should either
spending authority or fund availability be insufficient for a particular bill,
that bill will be returned to the Sheriff with a letter of explanation as to
why the Arkansas Department of Correction cannot encumber the cost.
I. To the maximum extent possible, medical
resources available to the department shall be used to keep down the costs of
providing medical care to convicted felons. This shall be the case regardless
of whether or not the department can reimburse the county.
Board of Correction Approval Date: 8/28/91
Attorney General Review Date: 8/28/91
Date Filed Secy, of State: 8/29/91
Disclaimer: These regulations may not be the most recent version. Arkansas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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