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HomeMy WebLinkAbout1938.03.05..~"'r ~r ` .--Y axi, ;i ~, r. June r0, 1438 Plir. G. i~'. Barnit2., Dresident Cumberland County Commissioners Court house Carlisle, Pennsylvania My dear NSr. P,arnitz: At a meeting ment Wednesday, June 1 for the administration not in institutions as Assembly abnroved June opinion No. 230 of the held at rry request in th3. s Depart- 5, 1938, the rules and regulations of medical care to dependent persons outlined in Act 396 of the General 24, 1937, and interpreted by formal Attorney General were set un. I am transmitting a copy of t~?ese rules herewith after approval by our representative in the Department of Justice. These rules and regulations go into effect immediately. The field representatives of the Bureau of Community Mork of the Department of Vwelfare are at your service for advice and help. Very ru y yours, L Charles I. En rd CIE:PH Secretary of relfare COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF WELFARE HARRISBURG RULES AND REGULATIONS OF THE DEPAP~TMEP~T OF ti~,ELFARE OF THE' CO1fii40P~rG~EALTH OF I'ENNSYLVANII'~ FOR AD1~~I^iISTRATION OF THE COUNTY IidSTITUTlON DISTRICT LA~1 ?~ZEDI CAL CARE 1. The responsibility for authorization o.f medical c,~re for x.11 depc.ndE:nt parsons riot irr institutions as defined in ArticlL i. Section lO~ , Act of the General I~ssembly No. 396 appr~~ved J~uie 24, 1937, sh~,.ll cost ~^rith the County Cornrnissi.onc~rs as administra- tors :~f the County Institution h~.strict, aid:d ~rnd advised by an advisory committee. ~ ' ~:. Trre County Commissioners shall appoint an advisory com~ittee of licensed physicians, licensed dentists, registered nurses, r~gis- tered pharmacists, and hospital manager~~ prefE~rab_Ly througri the County i~yiedic~~l. Association to assist in the formulation ~.nd administration of the plan for county medical care. 3. The co.rimon aim shall be the provision of go~.~d medical s;rvicr~ .t a reasonably: cost to thc~ mutua benefit of indigent patent, physician, nurse, dentist, pharmacist and ta_~payer. 4. Free chc;ice of physician, dentist, nurse and r,harm:_rcist 5ha11 obtain whenever possible. ` 5. Tr-rose illnesses vrhich cause acute suffering, interefer~~ vrith e~rrn- ing capacity, endanger life or threaten some new ~rnd prevent~~ble handicap, qualify for tr.t,atment. 6. Services shall be renderE:d on the basis of innividual and not family needs. 7. Records of cases shall be filed by the attending physician with bills for services. (Di.a noses and prognoses shall be considered at <<11 times confidential. B. Rtes for paying physicians, dentists, and nurses ~~r~~ to bo ~~ork- ed out b~twaen the professional groups and the County Institution District cn a fee-f'or-service basis whenever possible. 9. Provision foj approrrriations for medical carE: and medical supplies shall be made in the annual budget of the County Institution District. 10. Each county sriall f.'ormulat~ plan for medical card tc dcpendc~rlt persons subject to the approval of the Departm~:nt of VJcl.far2. Changes in ti-~e administration and form of this plan may be made from time to time subject to subsequent approval. 11. Trie rules ;end reg~_llations as herein stated in ro Urise affect the respo:isibility of the County Commissioners as udministr~~tors :~f thy; County .Lnstitution District for the card of depend,:nts in institutions as defined in the Act of the G~:neral Ass^:nbly ldo.396, approvod June 24, 1937.