Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 7 - OFFENDER HEALTH CARE CO-PAYMENT PROCEDURES › Rule 2 - Health Care Services › Section 2-6 - Payment for services

Current through July 10, 2024
Authority: IC
				  11-10-3-5
Affected: IC
				  11-10-3
Sec. 6.
(a) The
				processing of requests of co-payment shall be done on the same cycle as
				commissary purchases. Health care services co-payments shall be posted to the
				Inmate Trust Fund account prior to the processing of commissary orders.
				Withdrawals from the Inmate Trust Fund for co-payment of health care service
				shall be made prior to any other withdrawal, except for those withdrawals
				mandated by statute, court order, or department disciplinary actions. An
				offender shall not be authorized to make any purchases or obtain any monies
				from the Inmate Trust Fund until such time as all outstanding health care
				services co-payments have been withdrawn from the account.
(b) After the requested services have been
				provided, the designated health care services staff shall ensure that the
				health care staff portion of State Form 45913 is completed. Health care staff
				shall indicate whether a co-payment is required and, if so, the amount that is
				to be withdrawn from the offender's account. The health care services staff
				person completing the form shall sign and date the form.
(c) Following the completion of the
				designated portion of State Form 45913, health care services staff shall
				forward the two (2) copies of the form to the facility's business office, when
				the services require an offender co-payment. The facility shall designate a
				staff person in the business office to receive these forms. This person shall
				have access to the Inmate Trust Fund.
(d) Upon receipt of State Form 45913, the
				designated business office staff shall review the form and determine the amount
				of co-payment that is to be withdrawn from the offender's account. Following
				this review, the business office staff person shall review the offender's
				Inmate Trust Fund account. A determination shall be made as to whether the
				offender has sufficient funds available in the trust fund account to make the
				indicated co-payment. If there are sufficient funds available to make the
				indicated co-payment, the staff person shall withdraw that amount from the
				offender's account. A notation shall be made on the State Form 45913 indicating
				the amount withdrawn from the offender's account and the date. The staff person
				making the withdrawal shall sign the form. A copy shall be returned to the
				offender and a copy filed in the designated file.
(e) When a co-payment is required and the
				offender does not have sufficient monies in the Inmate Trust Fund, the staff
				person shall place an administrative hold on the offender's account. This hold
				shall be dated and shall remain in effect for a period of thirty (30) days.
				During the thirty (30) day period, if the offender receives any funds in the
				Inmate Trust Fund, the co-payment shall be made prior to any other
				offender-initiated withdrawals and the hold released. The payment of the health
				care services copayment shall take a priority over any other withdrawals from
				the offender's account, except those mandated by statute, court order, or
				department disciplinary action.
(f)
				In those cases where an offender does not receive sufficient funds to cover the
				co-payment within the thirty (30) day period of the hold, the amount available
				in the account will be deducted and the hold removed from the account. Prior to
				the end of the thirty (30) day hold, the designated business office staff
				person shall review the offender's Inmate Trust Fund account to determine the
				balance of the account. If sufficient funds are not available to cover the
				entire cost of the health care services co-payment, the staff person shall
				withdraw whatever amount is available in the account and apply it toward the
				co-payment. The amount deducted from the offender's account shall be considered
				full payment of the health care services co-payment. After the thirty (30) day
				period of the hold, the hold on the account shall be removed and the debt shall
				be considered retired. The facility shall not go beyond thirty (30) days from
				the date of the service in order to try to recover the co-payment. The
				facility's business office or designated staff shall be responsible for
				ensuring that the hold is removed at the end of the thirty (30) day
				period.
(g) The designated staff
				person shall ensure that the business office portion of State Form 45913 is
				completed. The staff person shall indicate the total amount of funds deducted
				from the offender's account. A completed copy of the State Form 45913 shall be
				returned to the offender and a copy filed in the designated file.