Section 470 IAC 11.1-1-2 - Patient responsibilities; denial of applicationAuthority: IC 12-13-2-3; IC 12-13-5-3
Affected: IC 12-16
Sec. 2.
(a) A patient is required to provide all information necessary to determine his eligibility for hospital care for the indigent and report any change in this information which occurs during the eligibility determination to the county office within ten (10) days of the date on which the change occurs.(b) A patient is required to verify or assist the county office in verifying all information required to determine his eligibility by: (1) signing appropriate release of information forms required to obtain verification of information provided to the county office; or(2) obtaining and providing to the county office documentation which verifies information required to determine his eligibility. (c) If a patient fails or refuses to provide the county office information or verification of information required to determine his eligibility for hospital care for the indigent, he shall be ineligible for assistance and his application shall be denied.(d) Prior to denying an application under this section, the county office must provide the patient written notice of the specific information or verification needed to determine eligibility and written notice of the date on which the application will be denied if the information or verification is not provided within ten (10) days of the date of the notice. Division of Family Resources; 470 IAC 11.1-1-2; filed Jun 3, 1986, 3:00 p.m.: 9 IR 2714; filed Oct 3, 1997, 4:50 p.m.: 21 IR 375; readopted filed Jul 12, 2001, 1:40 p.m.: 24 IR 4235; readopted filed Oct 24, 2007, 11:25 a.m.: 20071121-IR-470070448RFA; readopted filed Aug 23, 2013, 3:36 p.m.: 20130918-IR-470130306RFA