Florida Regulations 59H-1.007: Individual Eligibility Requirements
Current as of: 2024 | Check for updates
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(1) For a hospital to receive reimbursement for hospital services under the act, an individual must meet the following conditions:
(a) Be a certified resident of a county in the state of Florida;
(b) Be a qualified indigent patient or spend-down provision eligible patient; and,
(c) Receive treatment for a covered service as defined in Fl. Admin. Code R. 59H-1.0065, 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 Florida Statutes § 154.306(1)
(2) The county may establish income or asset standards for eligibility, or both, which are less restrictive than those found in subsection 59H-1.0035(30), F.A.C. A county shall not establish income or asset standards which are more restrictive than those found in subsection 59H-1.0035(30), F.A.C.
(3) The county shall notify the agency of any income or asset standards that are less restrictive than those found in subsection 59H-1.0035(30), F.A.C., within 30 days of adopting such standards and within 30 days of any subsequent changes.
Rulemaking Authority 154.3105 FS. Law Implemented 154.304(9), 154.306 FS. History-New 3-29-89, Amended 12-24-90, 2-24-92, Formerly 10C-26.007, Amended 6-7-00.
(b) Be a qualified indigent patient or spend-down provision eligible patient; and,
(c) Receive treatment for a covered service as defined in Fl. Admin. Code R. 59H-1.0065, 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 Florida Statutes § 154.306(1)
(2) The county may establish income or asset standards for eligibility, or both, which are less restrictive than those found in subsection 59H-1.0035(30), F.A.C. A county shall not establish income or asset standards which are more restrictive than those found in subsection 59H-1.0035(30), F.A.C.
(3) The county shall notify the agency of any income or asset standards that are less restrictive than those found in subsection 59H-1.0035(30), F.A.C., within 30 days of adopting such standards and within 30 days of any subsequent changes.
Rulemaking Authority 154.3105 FS. Law Implemented 154.304(9), 154.306 FS. History-New 3-29-89, Amended 12-24-90, 2-24-92, Formerly 10C-26.007, Amended 6-7-00.