In Jefferson County, noncontracted providers and transport companies serving jail inmates face payment caps tied to Medicare rates, with one financial-loss exception.
Noncontracted medical providers treating Jefferson County inmates may receive no more than 110 percent of the Medicare rate, or 125 percent if they meet a financial-loss exception.
Noncontracted companies transporting Jefferson County inmates for emergency medical care may receive no more than 110 percent of the Medicare rate.
Payments to a medical provider for an inmate’s care may not exceed 110 percent of the Medicare allowable rate. This applies to licensed health care providers serving inmates housed in a Jefferson County detention center without a county contract for inmate medical services. The limit rises to 125 percent of the Medicare allowable rate when the provider also reported a negative operating margin for the previous year through hospital-audited financial data. The act does not apply to charges for medical services provided at a hospital operated by Jefferson County. The act takes effect when it becomes law and applies in Jefferson County.
Payments to an emergency medical transportation company for an inmate’s transport may not exceed 110 percent of the Medicare allowable rate. This covers air, land, or water emergency transportation for an inmate housed in a Jefferson County detention center when the company lacks a county contract for that service. The act does not apply to charges for medical services provided at a hospital operated by Jefferson County. The act takes effect when it becomes law and applies in Jefferson County.
No hearings or votes scheduled.