AUTHORIZATION

Section 43-1.7 - Authorization of reimbursement for tuberculosis health care and services

AUTHORIZATION

43-1.7 Authorization of reimbursement for tuberculosis health care and services.

(a) Tuberculosis health care services shall be paid by the local health official with jurisdiction or the State only as authorized. Authorization for local charges shall be made by the local health official where the patient resides. Authorization for State charges shall be made by the designee of the State Health Commissioner.

(b) Providers shall be deemed authorized to collect reimbursement for tuberculosis health care services when they are so notified by the local health official or designee of the State Health Commissioner, if they comply with the requirements of this Subpart.

(c) Reimbursement for inpatient hospital services for a patient hospitalized for a period in excess of six weeks during a calendar year are not authorized unless approved in writing before expiration of the six weeks. Authorization for local charges may only be made by the local health official where the patient resides. If the patient is a potential State charge, the provider shall request authorization for care beyond six weeks by writing to the local health official where the patient resides. Such health official shall recommend whether such care is justified or not to the designee of the State Health Commissioner. Authorization for State charges may only be made by the designee of the State Health Commissioner.

(d) In determining which tuberculosis health care services to authorize for a tuberculosis patient, the local health official or designee of the State Health Commissioner shall consider available alternative tuberculosis health care services and determine the most appropriate source to meet the patient's needs.
 

Effective Date: 
Wednesday, February 8, 1989
Doc Status: 
Complete