31-3503A. Powers and duties of THE board. The board shall, under such limitations and restrictions as are prescribed by law:
(1) Pay for necessary medical services for a resident medically indigent person where the reimbursement rate for the claim exceeds in aggregate the sum of eleven thousand dollars ($11,000) during a consecutive twelve (12) month period;
(2) Cooperate with the department, respective counties of the state and contractors retained by the department or county commissioners to provide services including, but not limited to, eligibility review and utilization management on behalf of the counties and the board;
(3) Require, as the board deems necessary, annual reports from each county and each hospital and provider including, but not limited to, the following:
(a) From each county and for each applicant:
(i) Case number and the date services began;
(ii) Age;
(iii) Residence;
(iv) Sex;
(v) Diagnosis;
(vi) Income;
(vii) Family size;
(viii) Amount of costs incurred including provider, legal and administrative charges;
(ix) Approval or denial; and
(x) Reasons for denial.
(b) From each hospital:
(i) 990 tax forms or comparable information;
(ii) Cost of charges where charitable care was provided; and
(iii) Administrative and legal costs incurred in processing claims under this chapter.
31-3503A. Powers and duties of THE board. The board shall, under such limitations and restrictions as are prescribed by law:
(1) Pay for necessary medical services for a resident medically indigent person where the reimbursement rate for the claim exceeds in aggregate the sum of eleven thousand dollars ($11,000) during a consecutive twelve (12) month period;
(2) Cooperate with the department, respective counties of the state and contractors retained by the department or county commissioners to provide services including, but not limited to, eligibility review and utilization management on behalf of the counties and the board;
(3) Require, as the board deems necessary, annual reports from each county and each hospital and provider including, but not limited to, the following:
(a) From each county and for each applicant:
(i) Case number and the date services began;
(ii) Age;
(iii) Residence;
(iv) Sex;
(v) Diagnosis;
(vi) Income;
(vii) Family size;
(viii) Amount of costs incurred including provider, legal and administrative charges;
(ix) Approval or denial; and
(x) Reasons for denial.
(b) From each hospital:
(i) 990 tax forms or comparable information;
(ii) Cost of charges where charitable care was provided; and
(iii) Administrative and legal costs incurred in processing claims under this chapter.
31-3503A. Powers and duties of THE board. The board shall, under such limitations and restrictions as are prescribed by law:
(1) Pay for necessary medical services for a resident medically indigent person where the reimbursement rate for the claim exceeds in aggregate the sum of eleven thousand dollars ($11,000) during a consecutive twelve (12) month period;
(2) Cooperate with the department, respective counties of the state and contractors retained by the department or county commissioners to provide services including, but not limited to, eligibility review and utilization management on behalf of the counties and the board;
(3) Require, as the board deems necessary, annual reports from each county and each hospital and provider including, but not limited to, the following:
(a) From each county and for each applicant:
(i) Case number and the date services began;
(ii) Age;
(iii) Residence;
(iv) Sex;
(v) Diagnosis;
(vi) Income;
(vii) Family size;
(viii) Amount of costs incurred including provider, legal and administrative charges;
(ix) Approval or denial; and
(x) Reasons for denial.
(b) From each hospital:
(i) 990 tax forms or comparable information;
(ii) Cost of charges where charitable care was provided; and
(iii) Administrative and legal costs incurred in processing claims under this chapter.
