W. Va. Code R. § 90-6-5

Current through Register Vol. XLI, No. 50, December 13, 2024
Section 90-6-5 - Exempt Areas for Co-payment
5.1. Emergency Services: Emergency services are those necessary to prevent death, severe or permanent disability, to alleviate or lessen objectively apparent and disabling pain, or an emergency service following a traumatic injury other than a self-induced injury.
5.2. Diagnosis and Treatment of Communicable Diseases: Communicable diseases include tuberculosis (TB), the Human Immuno­deficiency Virus (HIV) and Acquired Immunodeficiency Syndrome and other communicable diseases as defined by the West Virginia department of Health.
5.3. Diagnosis and necessary mental health treatment based on a clinical determination of mental illness.
5.4. Follow-up Health Care Services: Follow-up health care services are defined as any order by a member of the health care staff to provide subsequent health care services.
5.5. Health Care Services Necessary to Comply with West Virginia Law and Regulations: These health care services include, but are not limited to, the annual inmate TB testing.
5.6. Reception Center Health Screening and Evaluations.
5.7. Inpatient Services: Inpatient services include hospitalization, extended care, e.g. hospice care, and skilled nursing services.
5.8. Chronic Care Clinics: Patients participating in chronic care clinics after being diagnosed and assigned to a specific chronic care clinic or clinics, e.g. cardiac, hypertensive, diabetic lung. Unexcused missed scheduled chronic care appointments will be chargeable.
5.9. Excusable Missed Appointment: No charge will be entered for excused missed appointments due to security reasons such as lock downs, emergency situations, conflicting court appointment, dental, medical, mental health or absence of health care provider.

W. Va. Code R. § 90-6-5