Current through Register Vol. 51, No. 19, September 20, 2024
A. The
Department is responsible for the following:
(1) Developing the necessary administrative
forms needed for the Program including, but not limited to, a:
(a) Standard application form to determine
eligibility of patients;
(b)
Release of patient information form; and
(c) Participating health care provider
agreement form;
(2)
Distributing the administrative forms to the following:
(a) Standard application form to determine
eligibility of patients;
(b)
Release of patient information form; and
(c) Certified nurse midwife;
(d) Hospital;
(e) Occupational therapist;
(f) Local health department;
(g) Medical laboratory;
(h) Medical supply company;
(i) Nurse anesthetist;
(j) Nurse practitioner;
(k) Pharmacy;
(l) Physical therapist;
(m) Physician assistant;
(n) Physician provider; and
(o) Other appropriate health care
providers;
(3) Providing
upon request a list of participating health care providers to local health
department coordinators and health care providers for referral of eligible
patients;
(4) Updating the list of
participating health care providers not less than once a year;
(5) Reviewing and reimbursing a bill
submitted by a participating physician for the reimbursed medical procedure and
service using the payment guidelines specified in Regulations .04E(5) and .15
of this chapter;
(6) Reviewing and
reimbursing a bill submitted by a participating physician assistant using the
payment guidelines specified in Regulations .04-1 and .15 of this
chapter;
(7) Reviewing and
reimbursing a bill submitted by a participating certified nurse midwife using
the payment guidelines specified in Regulations .04-2 and .15 of this chapter;
(8) Reviewing and reimbursing a
bill submitted by a participating nurse practitioner using the payment
guidelines specified in Regulations .05 and .15 of this chapter;
(9) Reviewing and reimbursing a bill
submitted by a participating nurse anesthetist using the payment guidelines
specified in Regulations .06 and .15 of this chapter;
(10) Reviewing and reimbursing a bill
submitted by a participating physical therapist using the payment guidelines
specified in Regulation .07 of this chapter;
(11) Developing a list of reimbursed
medications and pharmacy services;
(12) Updating the medication and pharmacy
service list at least annually;
(13) Developing and providing information to
the pharmacy;
(14) Reviewing and
paying a bill submitted by a participating pharmacy for reimbursed medication,
pharmacy service, durable medical equipment, and disposable medical supplies
according to Regulation .08E of this chapter;
(15) Reviewing and paying a disposable
medical supply and durable medical equipment bill and the required deductible,
if applicable, according to Regulation .10 of this chapter;
(16) Receiving the application for an eligible patient
from the local health department, hospital, or health care provider;
(17) Developing and issuing to an eligible
patient a letter identifying the patient as a participant in the
Program;
(18) Reviewing and
reimbursing a bill submitted by a participating home health services provider
using the payment guidelines specified in Regulation .11 of this
chapter;
(19) Reviewing and
reimbursing a bill submitted by a participating medical laboratory using the
payment guidelines specified in Regulation .12 of this chapter;
(20) Reviewing and reimbursing a bill
submitted by a participating freestanding ambulatory surgical center using the
payment guidelines specified in Regulation .13 of this chapter;
(21) Reviewing and reimbursing a bill
submitted by an occupational therapist using the payment guidelines specified
in Regulation .14 of this chapter;
(22) Reviewing and reimbursing in accordance with
Regulation .22 of this chapter a bill submitted by:
(a) Hospital; and
(b) A participating health care provider; and
(23) Ensuring
compliance with the applicable regulations within this chapter by performing a
periodic review of the records of a:
(a)
Hospital; and
(b) Participating
health care provider.
B. The local health department, hospital, and
a health care provider who refers a patient to the Program, are responsible for
the following:
(1) Identifying potentially
eligible patients;
(2) Assisting
the applicant in completing the application form;
(3) Collecting the completed application
form;
(4) Collecting verifying
documentation from the applicant, including, but not limited to, proof of
residency;
(5) Determining
eligibility of the applicant using the general, medical, health insurance, and
financial criteria specified in Regulation .03 of this chapter;
(6) Assisting an eligible patient in
selecting a participating health care provider and assisting in scheduling an
appointment with the participating health care provider for the reimbursed
medical procedure or service;
(7)
Having an eligible patient sign a release of information form;
(8) Providing an eligible patient with a copy
of a temporary referral letter, identifying the patient as a participant in the
Program, to be given to the participating health care provider until the card
is issued to the eligible patient by the Department;
(9) Sending the original application with
verifying information to the Department; and
(10) Evaluating patient progress through
follow-up contact with the patient and the participating health care
provider.
C. If an
additional diagnostic or treatment procedure is necessary, the local health
department, hospital, or health care provider who determines patient
eligibility and refers an eligible patient to the Program shall repeat the
procedure as set forth in §B(6) of this regulation.
D. The local health department, hospital, or
other health care provider who determines patient eligibility and refers an
eligible patient to the Program shall document in the patient's medical record
the result of the reimbursed diagnostic and treatment procedure
performed.