Council Hears Indigent Healthcare Program Funding Issues

Deputy County Administrator/Chief Financial Officer Steven Lynne explains to Council that the County began the year with a reserve fund of $732,000 but increased need in the community is depleting the fund. Photo by Carol A. Clark/ladailypost.com

Staff report

Deputy County Administrator/Chief Financial Officer Steven Lynne is briefing County Council on the financial issues facing the local Health Care Assistance Program.

The Health Care Assistance Program is a County program that is funded by the gross receipts tax and administered by the Los Alamos County Council.

The Health Care Assistance Program reimburses contracted providers for the care and treatment of qualified individuals.

Covered Services

Qualified individuals of the Health Care Assistance Program are eligible for $25,000 of medical reimbursement payments to contracted providers per fiscal year (July 1 to June 30) for the following services:

  • Medical Care
  • Prescription drugs
  • Nursing home services
  • Prenatal care.
  • Hospital outpatient services
  • Ambulance transportation
  • Durable medical equipment.
  • Vision benefit payments to include one (1) optical eye exam and (1) pair of glasses or one year’s supply of contact lenses, shall not exceed $200.00 per fiscal year.
  • Dental benefit payments are not to exceed $1,500.00 per fiscal year.
  • Day Habilitation Services.
  • Nutrition Counseling Services.
  • Behavioral Health, to include mental health and substance abuse treatment centers.

Services that are not covered:

  • Surgery or treatment not considered medically necessary,
  • Hospital and/or Healthcare services by a physician or provider not contracted with the Los Alamos County Health Care Assistance Program.

Qualifications:

The following is a brief description of qualification requirements:

  • Applicant must be a resident of Los Alamos County for at least ninety (90) days.
  • Applicant must fall below the 2012 HHS Poverty Guidelines, which are as follows:

The Health Care Assistance Program office, 2451 Central Ave., Ste. A, is open to the public 8 a.m. to 5 p.m. and closed for business Saturdays, Sundays and holidays.
 

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