Fla. Admin. Code R. 59H-1.007

Current through Reg. 50, No. 235-239, December 10, 2024

Section 59H-1.007 - Individual Eligibility Requirements

(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 Rule 59H-1.0065, F.A.C., 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 Section 154.306(1), F.S.

(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.

Fla. Admin. Code Ann. R. 59H-1.007

Rulemaking Authority 154.3105 FS. Law Implemented 154.304(9), 154.306 FS.

New 3-29-89, Amended 12-24-90, 2-24-92, Formerly 10C-26.007, Amended 6-7-00.