La. Admin. Code tit. 48 § V-12901

Current through Register Vol. 50, No. 9, September 20, 2024

Section V-12901 - Eligibility

A. State residents who are low income individuals who are not covered under the state Medicaid program or another third party payor, whose state Medicaid program of another third party payor, whose state Medicaid program does not provide this coverage, shall be targeted as recipients of state purchased Azidothymidine (AZT). Louisiana Department of Health and Hospitals has defined low-income for purposes of this program and to establish medical eligibility criteria for potential recipients of the drug. In order to develop these eligibility criteria, the state health officer established financial and medical criteria and to grant approval status to applicants. The review board has met and established the following criteria for use in determining potential recipients of AZT.

B. Criteria for Patient Eligibility for Azidothymidine (AZT)

1. The patient must have been diagnosed with AIDS or patient must be HIV positive and have a T4-cell count of 500 or less.

2. The patient must be willing to be followed as felt necessary by his/her physician. Poor patient compliance can be reason for discontinuing medication.

3. The patient's financial status is within the definition of 200 percent of the federal poverty level as follows:

1 person household	$1,047/month
2 person household	$1,404/month
3 person household	$1,761/month
4 person household	$2,116/month

4. The patient must have no other financial means for access to AZT.

C. Program Referral Procedures

1. All referrals or potential recipients shall be directed to the program review board by the patient's physician. The referring physician shall assure that the patient meets all of the above stated eligibility criteria.

2. The review board shall review all applications on a first come first serve basis using the above criteria to determine eligibility for approved participation in the program at no cost to patients.

La. Admin. Code tit. 48, § V-12901

Promulgated by the Department of Health and Human Resources, Office of Preventative and Public Health Services, LR 14:2 (January, 1988), repromulgated by the Department of Health and Hospitals, Office of Public Health, LR 16:692 (August 1990).

AUTHORITY NOTE: Promulgated in accordance with Public Health Services Act, Section 319, P.L. 100-71.