Healthcare Assistance Program BoardHealthcare Assistance Program Board SANTA FE COUNTY HEALTHCARE ASSISTANCE PROGRAM HEALTHCARE CLAIM RULES AND REGULATIONS Shall administer claims pursuant to the provisions of the Indigent Hospital and County Health Care Act. Shall prepare and submit a budget for the amount needed to defray claims made upon the fund and to pay costs for administering the provisions of the Act and costs of developing a countywide health plan. Shall make rules necessary to carry out the provisions of the Act; shall set criteria and cost limitations for medical care furnished by licensed out-of-state hospitals, ambulance services or health care providers; shall cooperate with appropriate state agencies to use available funds efficiently and to make health care more available; shall cooperate with department in making an investigation to determine the validity of claims made upon the fund for an indigent patient; shall review all claims presented by a hospital, ambulance service or health care provider to determine compliance with the rules adopted by the Board or with the provisions of the Act; determine whether the patient for whom the claim is made is an indigent patient; and determine the allowable medical, ambulance service or health care costs for each claim. Committee Members: All five Commissioners Schedule of Meeting: Committee Liaison 2012 Meeting AgendasJanuary Agenda 1-31-2012 February Agenda 2-28-2012 March Agenda 3-27-2012 April Agenda 4-24-2012 2011 Meeting AgendasJanuary Amended Agenda 1-25-2011 February Agenda 2-22-2011 March Amended Agenda 3-29-2011 April Agenda 4-26-2011 May Amended Agenda 5-31-2011 June Amended Agenda 6-28-2011 July Agenda 7-26-2011 August Agenda 8-30-2011 September Amended Agenda 9-27-2011 October Agenda 10-25-2011 November Agenda 11-29-2011 |