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Medicaid Task Force Presentation April 24, 2013

Medicaid Task Force Presentation April 24, 2013. County Medical Relief. Qualifying Circumstances for County Medical Poor Relief. Social Security Disability- insurance gap. Increased health problems with decreased income. Illness or injury. Pre-existing condition/ uninsurable.

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Medicaid Task Force Presentation April 24, 2013

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  1. Medicaid Task Force Presentation April 24, 2013 County Medical Relief

  2. Qualifying Circumstances for County Medical Poor Relief • Social Security Disability- insurance gap • Increased health problems with decreased income • Illness or injury • Pre-existing condition/ uninsurable • Health insurance unaffordable

  3. ELIGIBILITY CHECKLIST Hospital Notice SDCL 28-13-34.1 Application for Poor Relief SDCL 28-13-32.3 & 32.4 Residency Requirement SDCL 28-13-3 & 28-14-2.1 Post- Secondary Student SDCL 28-13-27(6)(b) Veteran or Indian Health Services SDCL 28-13-1.3(5) Emergency vs. non-emergency admissions SDCL 28-13-33 Ability to purchase Health Insurance SDCL 28-13-27(c)(d) Hospital must exhaust all avenues of payment SDCL 28-13-33.2

  4. Household resources (SDCL 28-12-32.8)

  5. Household Income (SDCL 28-13-32.7)

  6. Determining person’s ability to pay (SDCL 28-13-32.9) • Household Factors • contributions • expenses • discretionary income

  7. Ability to purchase health insurance (SDCL 28-13-32.11)

  8. Cost saving Resources to Counties • Federal Risk Pool • South Dakota Risk Pool • COBRA Premiums • Community Health Clinics (CHC) • Prescription Assistance Programs • Veteran Health • Indian Health Services • Medicaid Programs

  9. Statewide County Medical Expenses

  10. Counties not reported Douglas, Faulk, Yankton 2011 Yankton 2012Charles Mix, Douglas, Mellette, Yankton

  11. Payments or reimbursement to counties Note: includes payments for non-medical items

  12. Sarah Petersen Codington County Welfare Director President SDACWO 605-882-6286 e-mail codwelfare@codington.org

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