Ala. Admin. Code r. 660-5-52-.05

Current through Register Vol. 42, No. 12, September 30, 2024

Section 660-5-52-.05 - Financial Responsibility

(1) Financial resources must be explored to determine the appropriate payment method for inpatient services, and the following payment methods shall be considered in the order listed.

(a) Private Pay/Insurance - Private payment/insurance is to be considered as the first method of payment if the child and/or the child's family has financial resources or private medical insurance to cover the cost of inpatient psychiatric services.

(b) Medicaid - Medicaid eligibility determinations must be made for all children in DHR custody, and when the hospital accepts Medicaid, the worker is responsible for providing the child's Medicaid eligibility information to the hospital's billing department.

(c) County Flex Funds - Flex funds is the next option, and they shall be utilized prior to requesting SDHR payment for inpatient services.

(d) SDHR Payment - Requests for SDHR payment of hospital bills for inpatient psychiatric services shall only be sought after all other financial resources have been considered and utilized.

Author: Jerome Webb

Ala. Admin. Code r. 660-5-52-.05

New Rule: Filed October 7, 2003; effective November 11, 2003.

Statutory Authority:R.C. v. Fuller case (R.C. v. Hornsby, No. 88-H-1170-N, Consent Decree) (M.D. Ala. Approved December 18, 1991)