to determine whether an application has been made for Children’s Health Insurance Program (CHIP) - Medicaid. If there is no application pending, the county caseworker should work with the family to get an application filed as soon as possible. Because of the medical programs available for children, it is very rare that a county is liable for the payment of a child's medical expenses. Keep in mind that an application for Medicaid must be made timely in order to guarantee coverage if the individual is ultimately determined to be eligible. 2470 OTHER PAYMENT SOURCES - STUDENTS IN POST-SECONDARY EDUCATION (SDCL 23-13-27[b]) If the hospitalization involves a student in a post-secondary education program, the county should inquire whether the student pursued the following options: School insurance; Parent’s insurance through age 26; Affordable Care Act Marketplace; Medicaid; or Any other coverage available. If the student did not qualify for any of the above options, the county should proceed with the application process. 2500 HOSPITAL TO EXHAUST PAYMENT SOURCES (SDCL 28-13-33.2) If a hospital submits a bill to a county for hospital services provided on behalf of an individual who is medically indigent, the hospital must first demonstrate that it has exhausted all avenues of payment, including accepting reasonable monthly payments from the person who does not have the ability to pay the hospital in one lump sum at the time of discharge. A "reasonable” payment must take into consideration the individual’s disposable income which can be calculated according to the Ability to Pay Form - Appendix F, and the size of the
6100 SERVICES AVAILABLE AT IHS FACILITIES Services for the Native American community served by an IHS facility may include hospital and medical care, dental care, public health nursing and preventive care (including immunizations), and health examination of special groups, such as school children. Where services are available, services will be provided at IHS hospitals and clinics and at contract facilities. IHS does not provide the same service at each area served. The services provided to any particular Native American community will depend upon the facilities and services available from sources other than the IHS and the financial and personnel resources made available to IHS. 6200 ELIGIBLE INDIVIDUALS IHS services will be made available, as medically indicated, to persons of Native American descent belonging to the Native American community served by the local facilities and program. IHS services will also be made available, as medically indicated, to a Native American woman pregnant with an eligible Native American’s child but only during the period of her pregnancy through postpartum (generally about six weeks after delivery). In cases where the woman is not married to the eligible Native American, paternity must be acknowledged in writing by the Native American or determined by order of a court of competent jurisdiction. IHS will also provide medically indicated services to non- Native American members of an eligible Native American’s household if the medical officer in charge determines that this is necessary to control acute infectious disease or a public health hazard. Generally, an individual is regarded to be within the scope of the IHS program if the individual is regarded as a Native American by the community in which the individual lives as evidenced by such factors as tribal membership, enrollment, residence on tax-exempt land, ownership of restricted property, active participation in tribal affairs, or other relevant factors in keeping with general BIA practices relating to jurisdiction.