59H-1.007. Individual Eligibility Requirements  


Effective on Wednesday, June 7, 2000
  • 1(1) For a hospital to receive reimbursement for hospital services under the act, an individual must meet the following conditions:

    21(a) Be a certified resident of a county in the state of Florida;

    34(b) Be a qualified indigent patient or spend-down provision eligible patient; and,

    46(c) Receive treatment for a covered service as defined in Rule 5759H-1.0065, 58F.A.C., at a participating hospital or a regional referral hospital not located in the county of residence, unless the county has established a procedure to reimburse a qualified in-county hospital as allowed in Section 92154.306(1), F.S.

    94(2) The county may establish income or asset standards for eligibility, or both, which are less restrictive than those found in subsection 11659H-1.0035(30), 117F.A.C. A county shall not establish income or asset standards which are more restrictive than those found in subsection 13659H-1.0035(30), 137F.A.C.

    138(3) The county shall notify the agency of any income or asset standards that are less restrictive than those found in subsection 16059H-1.0035(30), 161F.A.C., within 30 days of adopting such standards and within 30 days of any subsequent changes.

    177Rulemaking Authority 179154.3105 FS. 181Law Implemented 183154.304(9), 184154.306 FS. 186History–New 3-29-89, Amended 12-24-90, 2-24-92, Formerly 10C-26.007, Amended 6-7-00.

     

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