Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-3 - MEDICAL ASSISTANCE › Subject 111-3-12 - RULES AND REGULATIONS FOR HOSPITAL CARE FOR THE INDIGENT › Rule 111-3-12-.08 - General Provisions

Current through Rules and Regulations filed through June 27, 2024
(1) Definition of Terms. The following words,
				terms, or phrases when used in these Rules and Regulations, shall have the
				meaning ascribed to them in this section, except when the context clearly
				indicates a different meaning:
(a) "Program"
				means the Hospital Care for the Indigent Program, established by Act No. 397,
				Georgia Laws, 1957;
(b) "Physician"
				means a doctor of medicine duly licensed to practice medicine in Georgia in
				accordance with Section 84-901, et seq., Georgia Code Annotated.
(c) "Indigent Person" or "indigent" means any
				person who is ill or injured and who from his own resources or from resources
				of those upon whom he is legally dependent is financially unable to meet the
				full cost of hospital care as prescribed or ordered by a physician.
(d) "financially unable" means an economic
				status in which a person, who because of his level of income, property, or
				intrafamily assistance, is not able to pay for the cost of needed hospital care
				without depriving himself or his dependents of necessary food, shelter,
				clothing, and the other minimum necessities of life within specified limits of
				an economic inventory.
(e) "full
				cost" means the total cost of an entire period of hospitalization wherein the
				ill or injured person is or becomes indigent in reference to a portion of the
				hospital cost.
(f) "hospital care
				needed" means the hospital care as prescribed or ordered by a
				physician.
(g) "resident" means any
				person who is in the county for other than temporary or transitory purposes and
				who has lived continuously in Georgia for a period of not less than six months.
				The six months residency requirement may be waived when a physician certifies
				that the illness or injury constitutes an emergency which requires immediate
				hospital care.
(h) "Applicant"
				means a resident indigent ill or injured person who makes applications for
				service under this Program, according to prescribed rules and
				regulations.
(i) "ill or injured"
				means indisposed for a medical reason which requires, in the professional
				judgment of a physician, intensive care normally provided by a hospital, and
				there is a likelihood of material benefit from hospitalization.
(j) "Participating County" means a county,
				the governing authority of which by appropriate action has agreed to
				participate in the Program, has adopted the rules and regulations set forth for
				the administration of the Program, and is current with its prorated share of
				funds necessary for the hospital care of county residents.
(k) "County" means the governing or taxing
				authority of a county.
(l)
				"Participating Hospital," "Participating Hospitals," or "participating
				hospital" means hospitals that have agreed to cooperate with the Program and
				have been certified as eligible according to the eligibility criteria set forth
				in the Rules and Regulations.
(m)
				"County Board of Health" means a County Board of Health created under and by
				virtue of an Act of the General Assembly of Georgia (Acts of 1914, page 124-125
				as amended) codified as Section 88-201 et. seq., Georgia Code Annotated; or the
				agency designated under the provision of
				111-3-12-.02(c) of
				these Rules and Regulations.